Do you have any questions or need help filling out the application? Give us a call at: 610.241.5925 Get Approved Today! BUSINESS INFORMATION Business Name * Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Type of Business * Federal Tax # * Time in Business Under Current Ownership * EQUIPMENT INFO Amount * Type of Equipment * Term (months) * 24 months 36 months 48 months 60 months Equipment Description * BUSINESS OWNERSHIP Ownership Type * Sole Owner Partnership Corporation LLC LLP Other Name * First Name Last Name Title * Social Security # * % of Ownership * Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Estimated Credit Score * I don't know 750+ 700-749 650-699 600-649 550-599 Below 550 Account Representative * Basil Szustak Ian Berg Elijah Griffin Zanele Nkosi Kareen Campbell Digital Signature Verification of Credit Pull * I agree that by submitting this form, I, the undersigned individual, recognizing that his or her individual credit history may be a factor in the evaluation of the credit of the applicant, herby consents to and authorizes the above named business credit provider that may be utilized to obtain and use a consumer credit report on the undersigned, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwise have under Fair Credit Reporting Act in the absence of this continuing consent. Thank you for submitting your application. You will receive an email confirmation shortly and a representative will be in touch with you soon.
