Home Contact Feedback Site Map  

Up
Corporation
Sole Owner/Partnership
Municipality

 

 


Sole Owner/Partnership

Please fill out this one page form for approval :

Select the items that apply, and then let us know how to contact you.

I need funding immediately
I am looking to secure a credit line
I am looking in 2-6 months

Name
Title
Company
Address
E-mail
Phone
Fax
Tax ID#
Dun & Bradstreet
Sole Owner, Partnership
Equipment Description
Equipment Cost
Equipment Vendor
Vendor Phone #
Vendor Contact
Desired Term
Desired Residual (Buy-Out)
Business Bank Name
Account#
Bank Contact
Loan Account#
Previous Lease Company (if any)
Lease Account #
Phone Number
Trade Reference Info #1
Trade Reference Info #2
Do you own any other locations? Please list cities
Owner #1 Name
Ownership %
SSN#
Owner #2 Name
Ownership %
SSN#
Referring CapitalWerks Sales Rep (if any)

By typing my name below, each undersigned individual(s), who is either a principle of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to Lessor or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau.  Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update renewal or extension of such credit and for reviewing or collecting the resulting account.  A photocopy or facsimile copy of this authorization shall be as valid as the original.

In addition to authorizing review of My/Our credit profile from any national credit bureau the undersigned also authorizes My/Our financial institutions and creditors to release credit information required by Lessor or its designee (and any assignee or potential assignee thereof).
Insert your signature here

   


Tax Tip #1
Coming Soon!
 
Tax Tip #2
Coming Soon!


Back Next
Copyright © 2002 CapitalWerks, LLC. All rights reserved