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Standard Equipment Finance Application

Required information fields are in bold and must be completed.

 

Business Information


Company Name (Exact Legal Name) Doing Business as (D.B.A.)

Street Address

Equipment Location Address

City

State

City

State

Zip Code

Zip Code

Telephone No

Fax No.

Type of Business

Gross Annual Sales

Contact

Yrs. In Business
Yrs. Under Current Owner

Email

Corporate Status

State of Incorporation
 
 

Federal Tax ID No.


Ownership Information


Principal #1 Name and Title Principal #2 Name and Title

% Ownership
Yrs. Industry
Experience

% Ownership
Yrs. Industry
Experience

Home Address

Home Address

City

State

City

State

Zip Code

Zip Code

Home Phone No.

Social Security No

Home Phone No.

Social Security No.

Birthdate
 
Birthdate
 
   

Personal
Annual Income

Monthly Mortgage/
Rent (Residence)

Personal
Annual Income

Monthly Mortgage/
Rent (Residence)


Reference Information


Bank Name Primary Trade/Supplier Name

Bank Contact Name

Trade/Supplier Contact

City

Phone No.

Trade/Supplier Phone No.

Bank Account Under Name of
 
 

Current
Checking Balance


Checking Account No.
 
 

Savings Account No.

Loan No.
 
 


Equipment Dealer



Desired Terms


Dealer Name Contact Finance Term (Months)

Telephone No.

Equipment Cost

Purchase Option

Equipment Type

I understand this equipment application may be approved based upon my business and personal credit. I authorize Trinity, a division of Bank of the West or its assignees to check references, bank accounts and credit information.




ECOA NOTICE: DISCLOSURE OF RIGHT TO REQUEST SPECIFIC REASONS FOR CREDIT DENIAL GIVEN AT TIME OF APPLICATION (BUSINESS CREDIT). If your application for business credit is denied, you have the right to a written statement of the specific reasons for denial. To obtain the statement, please contact Credit Manager. Trinity, a division of Bank of the West, 475 Sansome Street, 19th Floor, San Francisco, California 94111, (415) 956-5174 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. Notice: 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 concerning the creditor is the Federal Deposit Insurance Corporation Consumer Response Center, 2345 Grand Boulevard, Suite 100, Kansas City, MO 64108.

If the business has been in operation under present ownership for less than two (2) years or equipment costs exceed $150,000, financial statements or tax returns on company for most recent two (2) years and most recent interim finance statement may be required.