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Download the following Documents in Adobe PDF Format

Credit Application

Personal Financial Statement

Credit Authorization Form

IRS Tax Benefits
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Secure Equipment Finance Application

Required information fields are marked with an asterisk (*) and must be completed.

Business Information


Company Name* (Exact Legal Name)
Doing Business as (D.B.A.)
Street Address
Equipment Location Address
City
State
City
State
Zip Code
Zip Code
Telephone No*
Fax No.
Type of Business*
Gross Annual Sales
Contact*
Yrs. In Business*
Yrs. Under Current Owner*
Email*
Corporate Status
State of Incorporation
Avg. Bank Balance
Federal Tax ID No.*
Ownership Information

Principal #1 Name and Title*
Principal #2 Name and Title
% Ownership*
Yrs. Industry Experience*
% Ownership
Yrs. Industry Experience
Home Address*
Home Address
City*
State*
City
State
Zip Code*
Zip Code
Home Phone No.*
Social Security No*
Home Phone No.
Social Security No.
Equipment Dealer

Desired Terms

Dealer Name*
Contact
Lease Term (Months)
Telephone No.*
Equipment Cost*
Purchase Option
Equipment Type*

 

I understand this equipment finance application may be approved based upon my business and personal credit. I authorize Pacific American Capital or its assignees to check references, bank accounts and credit information.

 

 
Contact Info Apply On-line