Financial Application

Federal law requires financial institutions to collect and verify information from anyone opening an account to help prevent funding terrorism and money laundering. This means you may need to provide your name, address, date of birth, and other identifying details. You may also be asked for a copy of your driver’s license or other identification documents.

CONTACT INFORMATION

First Name

Middle Initial

Last Name

Email Address

Phone Number:

SSN

Date of Birth

Month

Day

Year

Home Address

BUSINESS INFORMATION

Business Name

Business Structure

Business Industry

Financed Amount

Business Address

Ownership Percentage

EIN Number (Optional)

Business Start Date

Month

Day

Year

EQUIPMENT

EQUIPMENT YEAR

MAKE

EQUIPMENT MODEL

EQUIPMENT CATEGORY

RESIDENCE INFORMATION

Own or Rent

Own

Rent

Marital Status

Immigration Status

By checking the box below and clicking "Submit", I/We:

Acknowledge and agree to this website’s Website Disclaimer, Privacy Policy, and Terms of Use.
Authorize EquipTrust Financial LLC to obtain and share credit, employment, and financial information for loan or lease consideration.
Understand that this may result in soft or hard credit inquiries.
Consent to EquipTrust Financial LLC using my/our consumer report(s) to verify identity, prevent fraud, and assess creditworthiness.
Waive any claims under the Fair Credit Reporting Act, Drivers' Policy Protection Act, and Gramm-Leach-Bliley Act related to this consent.
Agree to receive electronic notices and documents and confirm the ability to access them.
Acknowledge that electronic signatures hold the same legal weight as ink-signed documents, with the option to opt out of electronic delivery as outlined in the Terms of Use.

I have read the above disclaimer and consent to its terms.