Business Credit Application

Lessee Business Information :
Business Name: ...... Type of Entity:
Business Address:
Business City: State: Zip:
Business Phone: ... Email:
Time in Business: Fed Tax ID :
Contact Name:
Contact: Phone: email:
Principal Owner Information :
Owner Name: Social Security #: . % Own
Home Address: .Date of Birth:
Home City: State: Zip:
Home Phone: ..Cell Phone:
.Email:
Principal Owner (2) Information :
Owner 2 Name: Social Security Num: % Own
Owner 2 Home Add: .Date of Birth:
Owner 2 Home City: State: Zip:
Owner 2 Home Phone: Owner 2 Cell Phone:
Email:
Dealer Information :
Dealer Name:

.... Dealer Code:
If no dealer, enter NONE.

Dealer Address:
Dealer City: State: Zip:
Dealer Contact:
Dealer Phone: .... Dealer Email:
Equipment Information :
Equipment Description:

New or Used?
(Attach list if necessary)

Manufacturer: Model: Year:
Equipment Cost: ...Term Requested:
Notes: ...........

RELEASE & AUTHORIZATION
I authorize and request you to release information concerning my personal or business credit standing for this Credit Application, any renewals or future extensions of credit, or for review or collection of any resulting account. I authorize Terrace Finance to share any such credit reports with its affiliates, assignees and potential funding partners. You, the credit applicant, certify to us that you are applying for credit for a business purpose, and not for personal, family, or household purposes, and that the information you provided is true and correct.

If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Credit Disclosure Administrator, Terrace Finance Corp, 2580 Anthem Village Dr. Ste B, Henderson, NV 89052, within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

Phone: 954-522-3773

email: credit@mowerfinannce.com

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