SECURE ONLINE APPLICATION

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

 

 


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