Seattle, Bellevue, Tacoma, WA Commercial Real Estate Lending Business Information Form

Please supply as much information as you can.
Doing so will help us to expedite your Business Equipment Financing request.

Business Information

Company Name:

Sole Proprietor Partnership LLC Corporation

DBA (If Any):

Business Type:

Years in Business:

Mailing Address: City: Zip:

Telephone:

Fax:

Tax ID:

State of Incorp.

Bank Information

Bank #1 Name

City

Telephone

Contact Name

Checking Acct Number

Date Opened

Average Balance

Guarantor Information (anyone with a 10% or more ownership in the company MUST be a guarantor)

Guarantor #1 Name

Title

Ownership %

Tel.

Cell

SSN

Authorized to pull credit Yes No

Address: City: Zip:

Guarantor #2 Name

Title

Ownership %

Tel.

Cell

SSN

Authorized to pull credit Yes No

Address: City: Zip:

Equipment and Lease Information

Equipment Description (incl Model Info):

Vendor:

Telephone:

Contact:

Equipment Cost:

Equipment Age (mos):

Amount to be Financed:

Term Requested:

Permission to Contact Given By

Person completing this form:

Telephone:

Email:

How did you hear about this site OR who referred you:

Additional Comments: