Credit Submission Single Asset

Whether you are an existing Corporation or a newly formed business operation, please use this application to start the credit process. Thank you for the opportunity to earn your business. The online application is both simple and secure and should only take a few minutes.

Business Name - Full Legal Name*

Trade Name - if the same, write "Same"*

Contact Name*

First Last

Title

Phone*

Email*

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Purpose for the Request*

Additional

Replacement

Refinance

Asset*

List all components including attachments

Vendor*

List the name of the vendor and if possible, website info. If Private Seller, note "Private Sale" or Sale and Lease Back, note "Sale and Leaseback"

Sale Price*

If USD, note Sale Price $ / USD

Requested Term*

Cash Down*

Other*

Trade Equity (If applicable)

Total Equity Cash Down + Trade Equity*

Additional Collateral*

If Applicable, note the description and approximate value of the asset being used as collateral. If real Estate, note the Address with estimated value and estimate debt against it. If nothing, simply write "N/A"

Value of Collateral

The Client*

Applicable items that offer a general description of the client. IE. website, how long in business, name of the ownership/management team, fleet size, where they have existing funding, existing fleet size, top three clients, etc.

Financial Summary*

Provide an overview of the applicant's current financial statements. Discuss YOY revenue, profit, cash flow, EBITDA, One time expenses, etc. If a sole proprietor, discuss previous year and current revenue results.

Reason for The Request*

A description of why the client is asking for the money. Is it a replacement? If so, why? Is it an additional unit(s), if so why? Here is where we also describe the purpose of the request and more importantly, the monetary effect the requested advance/acquisition will have on the business.

Personal or Corporate Guarantee*

Give the name of the entity supporting the request (Please note, the client applying is not the guarantee). If no entity is supporting, simply write "N/A"

Notes*

This is where you note any additional information you feel will help describe the business, add value to the submission, explain a derogatory item on the credit report, why you feel the deal should be approved