Apply for an Equipment Lease at Strada Capital

Strada Capital Representative
Sales Representative:

Lessee Company Information

Company Name:

E-Mail:

Tel #:

Fax #:

Company Address:

Company City:

Company State:

Company Zip:

Signer:

Title:

State Corp. Filing#:

Type of Business:

Non-Profit
Proprietorship

Partnership
Corporation

Years in Business

Number of Employees:

Information on Officers, Partners or Guarantors

Officer Name:
Title:
SSN:
% Ownership:
Home Address:
Home City:
Home State:
Home Zip:
Home Phone :

Add 2nd Officer/Partner/Guarantor

Add 3rd Officer/Partner/Guarantor

Company Bank References - Five Year History

Name of Bank/Branch:
How Long:
Checking Account#:
Bank Telephone :
Bank Contact:

Add 2nd Bank Reference

Add 3rd Bank Reference

Trade References - Two Year History

Name of Supplier:
City/State:
Telephone:
Contact Person:

Add 2nd Trade Reference

Add 3rd Trade Reference

Lease/Loan References

Name:
Original Amount:
Loan Account #:
Telephone:
Contact Person:

Add 2nd Loan/Lease Reference

Add 3rd Loan/Lease Reference

Equipment Description (Make, Model, Year)

Equipment Cost

Vendor Information

Vendor Company:
Contact:
Phone:
Purchasing Timeframe:

Declaration

The above information, together with any accompanying financial statements, schedules, or other materials, is submitted for the purpose of obtaining credit and is warranted to be true, correct and complete. The undersigned hereby warrants that any individual identified above who is either a principal, a personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, has provided his/her written authorization for inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and shall hold Strada Capital and its assignees, agents or nominees harmless from same. You understand that such investigation may include seeking information as to the background, credit and financial responsibility of your officers and principals (or any of them). 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 or age (provided the applicant has the capacity to enter into the 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. If for any reason 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 write to Strada Capital Corp 23046 Avenida de la Carlota, Suite 270, Laguna Hills, CA 92653 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial of credit within 30 days of receiving your request for the statement.

SECURE ONLINE APPLICATION

Strada Capital Representative