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 :
Principal Name: Social Security Num: . % Ownership
Principal Home Address: .Date of Birth:
Principal Home City: State: Zip:
Principal Home Phone: ..Cell Phone:
Principal Owner (2) Information :
Principal 2 Name: Social Security Num: % Ownership
Principal 2 Home Add: .Date of Birth:
Principal 2 Home City: State: Zip:
Principal 2 Home Phone: Principal 2 Cell Phone:
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: ...........

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.

To Whom It May Concern: 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.

Phone: 888-464-6256 - Fax: 888-464-1947