NO-OBLIGATION
LOAN / LEASE APPLICATION
PRINCIPAL'S NAME:
Title:
Company name:
Street Address:
City / Town:
State / Province:
Zip / Postal Code:
Telephone Number:
Cellular Phone:
Fax:
Email:
Start-up
Existing Business
Years in Business:
Sole Proprietorship
Partnership
Corporation
Industry:
Amount of Financing Requested:
Purpose of Financing:
Franchise Purpose
Equipment Financing
Start-up Financing
Working Capital
Receivables Financing
Factoring
Other (
Please Specify
):
Briefly Describe the purpose of Financing:
Personal Guarantees Available:
Yes
No
Credit History of Owner:
Excellent
Satisfactory
Poor
Credit History of Company:
Excellent
Satisfactory
Poor
If a Business Purchase:
Purchase Price $
Cash Invested by Buyer$
Total Business Assets $
Total Liabilities $
Total Business Net Worth $
Company's Annual Revenue $
Company's Annual Profit $
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