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HIGH FLOW FUNDING FINANCING APPLICATION
TELL US ABOUT YOURSELF
First Name
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Middle Initial
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Last Name
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Your Email Address
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Date of birth
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Are you Married or Single
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Telephone Number
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Credit Score if known
What is your current credit score range (select one)
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Below 500
500-599
600-699
700 +
Social Security Number
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Home Address
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City
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State
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Zip Code
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Do You Rent or Own Your Home?
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Rent
Own
For How Long?
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Have You or the Business Declared Bankruptcy?
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Yes
No
TELL US ABOUT YOUR BUSINESS
Are you Self Employed?
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Yes
No
Business Structure
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Proprietorship (Sole)
Partnership
Corporation
Non Profit
LLC
Number of employees (If none put a 0)
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Gross sales last year $$
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EIN (Federal Tax ID number)
Legal Business Name
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State the business is registered
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Percentage of Ownership
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Business Email Address
Business Start Date
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Business Address
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Years Under Current Ownership
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Second Business Owners Full Name
Second Business Owner Date of Birth
Second Business Owner Social Security #
EQUIPMENT TO BE FINANCED
Supplier of Equipment
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Private Sale
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Yes
No
Equipment Description - Year , Model, Info
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Equipment Cost
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Down Payment
Contact Salesperson and Phone Number
Is the cost of Equipment $50000.oo or greater?
Less than $50000.00
50000.00 or Greater we will need tax returns and financial statements
Quote sheet / Bill of Sale from Seller
SUPPORTING DOCUMENTATION AND ANSWERS
Do you or will you have the following documents available if needed?
Last 2 years tax returns
Profit and Loss statement
Balance sheet
Please describe the nature of your business and its daily operations/services:
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How will this purchase help your business?Is this a replacement, upgrade or additional piece of equipment? How will this purchase make your company more profitable?
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How many years do you wish to finance this purchase? What monthly payment would you like to remain under?
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Attach the last three months complete bank statements here.
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Tax Returns (last 2 years) if available
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CREDIT RELEASE AUTHORIZATION I hereby certify that the information contained in this lease application is true and accurate and I hereby authorize our ban ks, trade references, and financial institutions the right to release credit information. In states where permissible, I hereby authorize the filing and recording of UCC financing Statements showing the Secured Party's interest in the equipment and grant the Secured Party the right to execute Lessee's/debtors name thereto. A photostat copy of this authorization shall be as valid as the original. 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, age (provided the applicant has the capacity to enter into a 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. The federal agency that administers compliance with this law is the Federal Trade Commission Equal Credit Opportunity, Washington, D.C. 20580. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Lessor set forth above within 60 days from the date you are notified or our decision. We will send you a written statement of reasons for the denial within 30 days for receiving your request for the statement.
Notice: To help the government fight the funding of terrorism and money laundering activities, U.S. Federal law requires financial institutions to obtain, verify and record information that identifies each person (individuals or businesses) who opens an account. What this means for you: When you open an account or add any additional service, we will ask you for your name, address and taxpayer identification number that will allow us to identify you. We may also ask to see other identifying documents.
By signing your name below, you hereby acknowledge that this will act as, and be enforceable as a signature, each undersigned individual(s), who is either a principal of the credit applicant listed below, or a personal guarantor of it's obligations, provides written instruction to High Flow Funding (aka High Flow Funding, LLC.) or it's designee (and any assignee or potential assignee therof) authorizing review of his or her personal credit profile in considering the application of the credit application and subsequently for the purpose of update, renewal, or extension of such credit and for reviewing or collecting the resulting account. A photocopy or facsimile print and/or signature of this authorization shall be valid as the original.
***PLEASE FORWARD ALL CREDIT APPLICATIONS TO HIGHFLOWFUNDING@GMAIL.COM***
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I agree to the above terms and conditions.
Signature (If 2 business owners listed please have both signatures)
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