Working Capital Loan Application

Business Information :
Legal Business Name: ........ Type of Entity:
dba: ........ Fed Tax ID :
Business Address: ....... # of Employees:
Business City: State: Zip:
Business Phone: ..Business Fax:
Years in Business: ....Experience, if less than 2 yrs:
Primary Contact: ........ Position :
Contact Phone: .......Contact Email
Ownership of business location:

....... Property Value $


Principal Owner Information :
Principal Name: .......Social Security Num:
Principal Home Address: .......% Ownership
Principal Home City: State: Zip:
Principal Home Phone: ....Principal Cell Phone:
Principal Email:

Principal Owner (2) Information :
Principal Name: .......Social Security Num:
Principal Home Address: .......% Ownership
Principal Home City: State: Zip:
Principal Home Phone: ....Principal Cell Phone:
Principal Email:

Requested Funding Amount $
Use of Funds:

By submitting this application, I (we) is (are) providing an Electronic Signature. An electronic signature, or e-signature, is any electronic means that indicates either that a person adopts the contents of an electronic message, or more broadly that the person who claims to have written a message is the one who wrote it (and that the message received is the one that was sent by this person). I (we) each individually as principals and/or guarantors of the Obligor, and on behalf of the Obligor (individually and collectively Applicant), hereby affirms that the foregoing information contained in this Credit Application is presented for the purpose of obtaining or maintaining credit as of the date indicated and is true, complete and correct. Capital Leasing Solutions, its affiliates, successors, designees or assigns is/are authorized to have this information verified and for consumer credit reports to be obtained. Applicant understands Capital Lease Funding, Inc. dba Capital Leasing Solutions (Lender or Lessor) is relying on this statement of our financial condition in extending or continuing to extend credit to Applicant. 

 

Phone: 954-522-3773

email: credit@capital-leasing.com

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