Application – Reliable Funding Group

Contact Info

Equipment Finance

E-Mail Notification
Business Information
Finance Details
Principal(s)/Ownership
Supplier Information

E-Mail Notification

Applicant E-Mail Address

Business Information

Date

Name

Phone

Address

Address Line 2

City

State

Zip

Company Phone

Contact Title

Contact E-mail

Contact Phone

Company Web Address

Business Structure

Date Company Formed (mm/yyyy)

Federal Tax ID

Comments

Mailing Address (If same as the address entered above, type "Same")

Equipment Location (if same as the business location entered above, type "Same")

Years of Experience

Finance Details

Amount

Desired Term Length

Principal(s)/Ownership 1

Title

First Name

Last Name

Ownership %

SSN

Street Name (home)

City (home)

State

zip

Phone (home)

E-mail

Supplier Information

Equipment Description

New or Used?

Vendor Company Name

Sales Rep

Rep Phone

Rep Email

Authorization

Authorization
By acknowledging this checkbox, each signatory, who acts as either a key figure of the credit applicant mentioned below or a personal guarantor of its liabilities, gives explicit written consent to Reliable Funding Group or its assigned party (and any subsequent assignee or potential assignee) to conduct a review of their individual credit history from a nationally recognized credit bureau. This permission encompasses the retrieval of a credit history for the evaluation of the credit applicant's application and for potential future actions such as updates, renewals, extensions of credit, as well as for the examination or the collection of the resulting account. A reproduced copy of this authorization through photocopy or facsimile carries the same validity as the original document. It is important to recognize that through providing these 'written instructions' to Reliable Funding Group and any prospective lender to whom Apex Commercial Capital forwards this application, you are extending authorization for the review of your credit history under the Fair Credit Reporting Act with the purpose of seeking commercial financing.

Equipment Finance

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