Financing Application

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Business Information

Sales Contact ::

Business Name ::

DBA Name ::

DBA "Doing Business As" is a name under which a corporation conducts business that is not the Legal name of the corporation as shown in its articles of incorporation.

Business Type ::

Time In Business ::

Business Credit ::

Business Address ::

City ::

State ::

Zip Code ::

Business Phone #

- - - Optional Info - - -

Fax #

Federal Tax Id #

(EIN)

Website ::

Comments ::

Equipment Information

Equipment Cost $ NewUsed

Ship To Address ::
Same as Business AddressOther Address

Ship To Address ::

City, State ::

Zip Code ::

Equipment Location ::
Same as Ship To AddressOther Location

Equipment Location ::

City, State ::

Zip Code ::

Equipment Description...

Owner 1 Information

First Name ::

Last Name ::

Title ::

Ownership %

Social Security #

Address :

City, State ::

Zip Code ::

Home Phone #

Mobile Phone #

Email ::

Add a 2nd Owner or Principal to this Application?


Owner 2 Information

First Name ::

Last Name ::

Title ::

Ownership %

Social Security #

Address :

City, State ::

Zip Code ::

Home Phone #

Mobile Phone #

Email ::

- to accept the Terms & Conditions of this Application (below)



Terms & Conditions
All information submitted as part of your application for credit, together with any accompanying financial statements, schedules, or other materials, is submitted for the purpose of credit prequalification and is warranted to be true, correct, and complete.If applying for business credit, you acknowledge and affirm that one or more applicants identified is/are the business owner(s) and is/are personally liable for the business.

You also warrant that by submitting this application for credit, any individual identified above who is either a principal, a personal guarantor or cosigner, or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the application for credit, is authorizing inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and shall hold Alpha-Biz Financial LLC, its assignees, agents, or nominees harmless from same.

You understand that such investigation may include seeking information as to the background, credit, and financial responsibility of your business, its officers, principals, any personal guarantors or cosigners, and any corporate guarantors if applicable.

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into the binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act.

If for any reason your application for credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please write to us at the following address within 60 days from the date you are notified of our decision and we will send you a written statement of reasons for the denial of credit within 30 days of receiving your request for the statement...

Alpha-Biz Financial LLC
3489 W 72nd Ave. Ste 105
Westminster, CO 80030
Attn: Credit Operations

If you received a separate decline notice from one of our underwriters, please contact them directly for specific information.