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BridgeFlex


Trucks & Trailer Financing

Lessee Information

Legal Name of Business: A value is required.   Phone Number: A value is required.
Business Address:
(No P.O. Box)
  / /
Guarantor #1
Name:
A value is required.   Social: A value is required.
Home Address:
  / /
Percentage of Ownership: A value is required.%      
Guarantor #2
Name:
  Social:
Home Address:
  / /
Percentage of Ownership: %      
Description of Business:
Structure of Business:   Time in Business under Current Ownership: years months

Other Leases & Loans

Lease/Loan:   Account #:
Contact:   Phone #:

Equipment Information

Total Cost:   Term:
Equipment: New Used      
Type of Vehicle: (ex: dump truck, tow truck)  
Chasis
Year:
  Attachement Year:
Chasis Make:   Attachement Make:
Chasis Model:   Attachment Model:
Truck Overnight Location::
  / /

Vendor Information

Vendor Name:   Vendor Contact:
Phone Number:   Equipment:
Vendor Address:
  / /

DECLARATION   Please make a selection.
By checking this box, each undersigned warrants that 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 also 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 authorization for inquiry into their creditworthiness, including but not limited to obtaining a consumer credit report and Dun & Bradstreet business report, and shall hold Bridge Capital Leasing, Inc. and its assignees, agents or nominees harmless from same. 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 can enter into a binding contract. If for any reason your application for commercial credit is denied, you have the right to a written statement, which will be send to you within 30 days of receipt of your written request. Please submit your request to Bridge Capital Leasing, Inc. 23441 S .Pointe Dr. Suite 140, Laguna Hills, CA 92653 no later than 30 days from the date you are notified of our decision. This Application submitted electronically shall have the same force and effect as if the application bore an inked original signature(s).

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