Credit Application

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General Information
Legal Business Name*
Fed ID #*
Address*
Street Address City State ZIP Code
Phone*
Fax
Description of Business
Years in Business*
Ownership Since
Date Format: MM slash DD slash YYYY
Prior Year Gross Annual Sales
Projected Gross Annual Sales
Business Structure (S-Corp. LLC, etc.)*
No. of Employees*
Program
Equipment Cost*
Down Payment
Term in Months
Product
Equipment Description*
Reason for Purchase*
Equipment Location
Street Address City State ZIP Code
Equipment Vendor (Dealer)*
Principals
Name*
First Last
Title*
Ownership %*
Email*
S.S.#*
DOB*
Date Format: MM slash DD slash YYYY
Address*
Street Address City State ZIP
Name
First Last
Title
Ownership %
Email
S.S.#
DOB
Date Format: MM slash DD slash YYYY
Address
Street Address City State ZIP
Account Manager

Credit Bureau

The information contained on this application, together with any accompanying application, financial statements, schedules or other materials, is submitted for the purpose of obtaining credit and is warranted to be true and correct and I have not omitted or failed to include material information relevant to the credit application.

By clicking submit, on behalf of the business and each principal; Tech Financial Services or it’s assigns to conduct inquiries regarding the undersigned’s business operations and individual and business credit histories as it may deem necessary including without limitation, requesting credit bureau reports, contacting banks, secured lenders, lessors and trade creditors for references and for information on Bank Accounts, Loan or Leases.

Credit Application

General Information

Program

Principals

Credit Bureau