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Summary
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Financial Services: Credit Application

Financial Services Summary | Credit Application | Finance Calculator

Please fill out the following.


CUSTOMER NAME (Important to list exact legal name of entity)
Company
Parent
Federal ID #
 
Legal/HQ Address
City
State
County
Zip
Phone #
Contact Person
Title
Email
 
Years in Business
License #
Industry
Business Type
State of Operation
Date of Operation
Board Certified State
Dun & Bradstreet #
 
 
SENCORP EQUIPMENT INFORMATION AND COST
Name
City
State
   
Sales Rep
Phone #
Fax #
   
Equipment Description
Equipment $
Sales Tax $
Installation $
Total Cost $
 
 
PERSONAL INFORMATION ON OFFICERS, PARTNERS OR GUARANTORS
Name
Title
Social Security
Ownership %
 
Home Address
City
State
Zip
 
Phone #
Fax #
Email
   
Name
Title
Social Security
Ownership %
 
Home Address
City
State
Zip
 
Phone #
Fax #
Email
   
 
BANK REFERENCES
Name
How Long
Account #
Phone #
Contact Name
Name
How Long
Account #
Phone #
Contact Name
 
LEASE AND TERM LOAN REFERENCES
Name
How Long
Account #
Phone #
Contact Name
Name
How Long
Account #
Phone #
Contact Name
 
APPLICATION AGREEMENT

Yes   No    By submitting this profile, you hereby authorize and request the release of any information concerning your personal and/or business credit standing, including from the references above. In addition, you specifically authorize us to obtain, and authorize to be supplied to us, any commercial credit reports and/or consumer credit reports that may be requested by us from any commercial or consumer credit reporting agency. You agree that we may transfer any such information obtained to a potential assignee.

YOUR CREDIT APPLICATION AND ANY FINANCING TRANSACTION ARE SUBJECT TO APPROVAL AND ACCEPTANCE BY SENCORP.

ECOA NOTICE: 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 Sencorp Financing, 400 Kidds Hill Road, Hyannis, MA 02601, (508) 771-9400 x 7478, 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. 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, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.