Application For Financing

Simply fill out the credit form below to get pre-approval for equipment leasing.

Step 1 of 3

33%

Customer Information
Legal Company Name*
DBA
Federal Tax ID*
Type of Business*
- Corp
- S Corp
- LLC
- Partnership
- Sole Prop
Business Phone*
Business Fax
Email Of Applicant*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Description*
Years In Business*
Name Of Officer Signing Documents *
First Last
Title Of Officer Signing Documents *
Banking Information
Bank Name*
Account Number*

Ownership Information
Please list all with 20% or greater ownership
Owner 1 Info*
First Last
Title*
Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Ownership %*
Owner 2 Info
First Last
Title
Address
Street Address Address Line 2 City State ZIP Code
Social Security Number
Ownership %
Owner 3 Info
First Last
Title
Address
Street Address Address Line 2 City State ZIP Code
Social Security Number
Ownership %
Owner 4 Info
First Last
Title
Address
Street Address Address Line 2 City State ZIP Code
Social Security Number
Ownership %

Equipment Information
Equipment Type*
Equipment Conditon*
- New
- Refurbished
Equipment Cost*
Credit Release
*
- I Agree To The Following
I hereby authorize our banks, trades, and financial institutions to release credit information to Tempus Financial Group, Inc. and/or its assigns. The undersigned individual, who is either a corporate officer, partner, member, personal guarantor, or owner of the applicant also authorizes Tempus Financial Group, Inc. or its assigns to pull a personal credit profile from a national credit bureau on all owners/guarantors as part of its due diligence into the credit worthiness of the applicant