Business Credit Reports

Company Information

Company Name

Address

City

State/Province

Zip/Postal Code

Country

Mailing Address (If different than the physical address)

Mailing City

Mailing State

Mailing Zip

Borrower is a (Individual/DBA/Corp/LLC/LLP/Partnership/S-Corp/Muni)

Federal Tax I.D. # or Social Security #

Year Started

Tax Exempt? (Yes/No)

Exemption # If Yes

Business Phone

Cell Phone

Fax

Business Email Address

Prior Bankruptcy? (Yes/No)

Is This A Replacement? (Yes/No)

Type of Business

Annual Revenue

Contact Information

First Name

Last Name

Title

Phone

Personal Information

First Name

Middle Name

Last Name

Title

Date of Birth

Address

City

State

Zip Code

Social Security Number

Ownership Percentage

Home Phone

Cell Phone

Email Address

First Name

Middle Name

Last Name

Title

Date of Birth

Address

City

State

Zip Code

Social Security Number

Ownership Percentage

Home Phone

Cell Phone

Email Address

Equipment Information

Year

Make

Model

Sales Price/Amount Requested To Be Financed

Vendor Business Name

Vendor Contact

Vendor Phone

Vendor Email

Term (Loan/$1.00 Buy Out Lease/Fair Market Value Lease/Seasonal or Skip Payments/24 Months/36 Months/48 Months/60 Months/72 Months)

1st Equipment Finance Contact Rep

Are you putting money down? (Yes/No)

If Yes, How Much?

Comments, Prior Bank Credit History, etc.

Request

Requested Amount

Comments (400 characters max)

Supporting Documentation

Please upload your Tax Exemption certificate if you are tax exempt

Click the Browse / Choose Files button above to select the files you want to send. Then click the Upload button.
Please keep individual file sizes to 4MB or less.

Uploaded Documents

Terms

By signing below, the undersigned individual, who is either a principal of the credit applicant or a personal guarantor of its obligations, provides written instruction to 1st Equipment Finance, Inc. or its designee (and any assignee or potential assignee thereof) authorization review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A Photostat or facsimile copy of this authorization shall be valid as the original. By signing below, I/we affirm my/our identity as the respective individual(s) identified in the above application. The USA PATRIOT Act requires financial institutions to verify customer identity. As a result, our employees may ask you to provide proper identification and may additionally use credit reports, references, or other reasonable means to make the required verification. Thank you for your cooperation in helping us comply with federal regulations.

I accept the above terms.

Please Sign Below

Using a touchpad or mouse, please sign in the area below. When finished signing, please click the Save Signature.

Submit the Request

By clicking 'Submit', I/We authorize 1st Equipment Finance, Inc. or its agent to obtain a credit report for the purpose of establishing, maintaining or enforcing a credit relationship. Upon approval of credit, I/We agree to pay our account according to the terms granted and I/We acknowledge that I/We have read and fully understand this application.

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