Quick and Hassle-Free Loan Application and Processing BUSINESS CONTACT INFORMATIONDescription of Industry:*Business Name:*Financed Amount Requested:*Tax Liens?*YesNoPhone #:*Cell Phone #:*Year Business Started:*Gross Annual Income:*Business Structure:*Any Previous Financing Done Under the Business?*YesNoAny Previous Assets Financed?*YesNoWhen Do You Need the Financing By?*ASAP1-3 monthsType of Financing Needed:*Vehicle/TruckEquipment PurchaseWorking CapitalOwner 1 First and Last Name:*Date of Birth:* Date Format: MM slash DD slash YYYY Owner 2 First and Last Name:*Date of Birth:* Date Format: MM slash DD slash YYYY BUSINESS ADDRESS INFORMATION Business Address, City, State, Zip Code:*Owner 1 Home Address, City, State, Zip Code:*Owner 2 Home Address, City, State, Zip Code:* AGREEMENT To secure financing, the undersigned individual who is either the principal of the credit applicant or a personal guarantor of its obligation, provides written instruction to Capital Equipment Solution LLC (and any assignee or potential assignee thereof) authorizing review of his/ her personal credit profile from a national credit bureau and authorizes all requested bank and trade information to be released via telephone, fax or email. Such authorization shall extend to updating, renewing, or extending such credit and for reviewing or collecting the resulting account. A photocopy or facsimile copy of this authorization shall be valid as the original. BUSINESS ADDRESS INFORMATIONPrint Name:*Ownership %:*Date:* Date Format: MM slash DD slash YYYY Signature Owner 1:*Print Name:*Ownership %:*Date:* Date Format: MM slash DD slash YYYY Signature Owner 2:*
