Equipment Funding

Referred by: *

First Name *

Last Name *

Social Security Number *

Phone *

Email *

Date of birth *

Address *

City *

State *

Postal code *

Website URL *

Residence History

How long have you lived at your current address? *

More than 6 months

Less than 6 months

Your previous street address *

Your previous city *

Your previous state *

Your previous postal code *

In what year did you move into your previous address? *

In what month did you move into your previous address? *

Do you rent or own your current home? *

Own
Rent
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How much is your current monthly rent/mortgage? *

Type of Residence *

Single Family
Multi-family
Condo
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Business Info

Business street address *

Business city *

Business state *

Business postal code *

Business name *

Business Email

What industry is your business in? *

example: Real estate, Transportation, etc

How long you've been in business *

EIN Number *

How long have you been at your current business address?

More than 6 months

Less than 6 months

If you’ve been at your current business address for less than six months, or if your current address has changed and is not yet updated with the Secretary of State, please upload a lease agreement or utility bill in your business name showing the current address.

How many employees if any does your business currently have? *

Enter a number (including yourself, if applicable).

Gross Revenue (average) Enter your average business revenue before expenses.

Example: $150,000 per year

Documents

Operating Agreement or Bylaws

Voided Check

Driver's license *

Clear color copy of your license showing all four corners

Current Billing Statement *

Social Security Card *

Clear color copy of your social security card showing all four corners. W2 is also acceptable

EIN Letter *

Articles of Incorporation *

Wiring Instructions

if no voided check, please fill fields below

Account number

Routing Number

Credit Monitoring Service

MyFico username *

MyFico password *

Upload a copy of your MyFICO 3-bureau credit report *

Must be from the past 3 days; no older

If you don’t have one, please obtain one or text 302-271-6969 for help with obtaining one.

Desired Amount: (How much money are you looking for?) *

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