Equipment Financing Application This equipment financing application will gather some information about you and your business. It generally takes about 5 minutes to complete. There are no fees and no obligations to apply. Of course, any questions, at any time, simply contact us. We look forward to working with you! * All fields are required Unique IDPersonal InformationName* First Last Email* Phone*Job title* How did you hear about us?*-- Select --AffliiateEmailInternet SearchFriendOtherAffiliate ID* Estimated credit score* Business InformationLegal business name* DBA (if different) Business phone*Business address* Business city* Business state*-- Select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioQuebecPrince Edward IslandSaskatchewanBusiness zip code* Legal entity type*-- Select --CorporationGeneral PartnershipLimited Liability CorporationLimited Liability PartnershipNon-ProfitSole ProprietorshipState of incorporation*-- Select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaNew BrunswickBritish ColumbiaManitobaNova ScotiaNewfoundland and LabradorOntarioPrince Edward IslandQuebecSaskatchewanBusiness start date* MM slash DD slash YYYY Business tax ID* Is the business in active bankruptcy?*-- Select --NoYesWhat products and/or services do you offer? Gross monthly revenues*Financing InformationWhen do you need financing?*-- Select --ASAP7 days30 days> 30 daysEquipment price*Preferred down payment*How will you use the equipment?* Do you currently have other existing financings?*-- Select --YesNoLender name* Existing financing type* AttachmentsPlease upload copies of the documents requested below. Equipment quoteMax. file size: 512 MB.Upload the quote that you received for the equipment you are looking to financeDriver's licenseMax. file size: 512 MB.Upload a copy of your valid driver's license Below, please upload copies of the last three months' business bank statementsBank statement month 1Max. file size: 512 MB.Bank statement month 2Max. file size: 512 MB.Bank statement month 3Max. file size: 512 MB.Consent* By submitting this application, you (i) authorize BorrowPartner LLC and/or its lending partners to use any credit bureau or business to verify the information that you provided, (ii) consent to receiving calls from BorrowPartner at the telephone number that you provided above, even if it is on a state, federal, or corporate Do-Not-Call registry, (iii) agree with BorrowPartner's Terms and Conditions; and (iv) acknowledge that you have read BorrowPartner’s Privacy Policy.Applicant's Full Name* Date*
