Commercial Funding Credit Application Complete and don’t forget to click the submit button at the bottom of the form For rate quote/monthly payment only complete Sections: 1 (lines 1-3), 2, 3 (line 1), 7 & 9, sign & submit 1About Your Company2Credit Information3Equipment to be financed4Signature PageYour personal information - secure and protected!Which CFC Account Executive is helping you?Referred by my vendorRandy LukeTerry LukeTeri ChristensenReferred by another Account ExecutiveWebsite Only / Don't KnowReferring Person and/or Vendor NamePlease complete and don't forget to click the submit button at the end of the form For rate quote/monthly payment only complete Sections: 1 (lines 1-3), 2, 3 (line 1), 7 & 9, sign & submitBusiness Information1. Business Name *Years in Business *Years / Current OwnerStreet AddressCityState & Zip CodePhone * *FaxEmail Address *Fed Tax ID #Equipment Location AddressCityState & Zip CodeNature of BusinessBusiness LandlordLandlord Phone2. Business Structure *Sole PropLLCPartnershipC-CorpS-Corp3. Ownership: PrincipalTitlePer Cent OwnedSocial Security #Home AddressHome PhoneAdd 2nd Owner?Add a 2nd Owner / Principal / Officer?Principal / Officer #2Title #2Per Cent Owned #2Social Security # 2Home Address (copy)Home Phone (copy)Add 3rd Owner?Add a 3rd Owner / Principal / Officer?Principal / Officer #3Title #3Per Cent Owned #3Social Security # 3Home Address #3Home Phone #3NextCredit Information4. Bank ReferenceAcct NumberPhone w/Area CodeOfficer Name4. Bank Reference 2Acct Number 2Phone w/Area Code 2Officer Name 2Add Bank ReferenceAdd a bank reference?5. Business LoansAcct Number Phone w/Area CodeOfficer Name 5. Business Loans/Leases 2Acct NumberPhone w/Area Code Officer NameAdd a Loan/LeaseAdd another loan/lease?6. Credit ReferencesAcct NumberPhone w/Area CodeOfficer Name 6. Credit References 2Acct Number 2Phone w/Area Code 2Officer Name 26. Credit References 3Acct Number 3Phone w/Area Code 3Officer Name 36. Credit References 4Acct Number 4Phone w/Area Code 4Officer Name 4Add Additional Credit ReferenceAdd 2nd Credit ReferenceAdd 3rd Credit ReferenceAdd 4th Credit ReferencePreviousNextEquipment & Suppliers7. Equipment to be FinancedNewUsedIf used, please give model year and serial numbersEquipment DescriptionEquipment Cost $8. Supplier of EquipmentSupplier AddressPhone8. Supplier of Equipment 2Supplier Address 2PhoneAdd another supplierAdd another vendor/supplier?9. Term Requested (months) 12 Mos24 Mos36 Mos48 Mos60 MosPreviousNextSignatures & AuthorizationsSigning below by typing name constitutes the same as a handwritten ink signature. The undersigned individual, who is either a principal of the credit applicant 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/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account . By signature below, I/we affirm my/our identity as the respective individual /(s) identified in the above application. I authorize all deposit, borrowing, and trade information to be released to the Lessor. I hereby represent all information is true, correct and complete. A photostat, email or facsimile copy of this authorization shall be valid as the original.Signature Line *Date * If there are Additional Owners or Guarantors: (otherwise scroll to the bottom of form to submit)Authorization to Obtain Consumer Credit Report Signing below by typing name constitutes the same as a handwritten ink signature. Each undersigned individual(s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to C.F.C., Inc. dba Commercial Funding 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 photostatic, email or facsimile copy of this authorization shall be valid as the original.SignatureTitleDateSignature 2TitleDate Signature 3Title (copy)Date 3Signature 4Title 4Date 4Add Additional AuthorizationsAdd 2nd Authorization LineAdd 3rd Authorization LineAdd 4th Authorization LineAdditional CommentsChoose the Account Executive helping you from the list below:Choose the account executive helping you *randy@comfunding.comtluke@comfunding.comteri@comfunding.comRandy Luke = randy@ Terry Luke= tluke@ Teri Christensen and all others = teri@Now click SUBMIT below to send securely to Randy LukeNow click SUBMIT below to send securely to Teri Christensen for processing or for distribution to your executiveNow click SUBMIT below to send securely to Terry LukePreviousEmailSubmit Application