Online Finance Application

To apply for Equipment Financing or Working Capital is easy; complete the APPLICATION below and upload the required documents pertaining to your request. We will confirm receipt, provide feedback and process your application right away. *Additional documents may be required after review.

For Equipment Finance requests less than $250,000

Complete a Finance Application
Vendor Quote or Proposal for the equipment you want
3 current months business bank statements (all pages)
Please include a summary of your business with your background and experience

For Equipment Finance requests more than $250,000

Download our Financial Requirements List and email to: Sales@FirstUSFinance.com

For Working Capital requests

Complete a Finance Application
3 – 6 current months business bank statements (all pages)
Summarize reason for capital request and purpose

Personal Information – Please complete information for all Principals / Officers / Guarantors

Select

Check if home-based business

Personal Bankruptcy Filed?

YesNo

If YES, date discharged

Name*

Title*

% Ownership*

Social Security #*

Home Address*

City*

State*

Zip*

Select

Own HomeRent

Home Phone

Cell*

Email*

Monthly Household Income

Name

Title

% Ownership

Social Security #

Home Address

City

State

Zip

Select

Own HomeRent

Home Phone

Cell

Monthly Household Income

Company Bank Reference – Please provide current three months of business bank statements

Bank Name

Contact

Phone #

Acct #

Bank Name

Contact

Phone #

Acct #

Loan References – Please attach copies of recent monthly payment statements for each account

Lender Name

Contact

Phone

Acct #

Lender Name

Contact

Phone

Acct #

Equipment Vendor Information – Please attach copies of equipment quotes, proposals or invoices

Vendor Name

Address

Phone

Equipment Description

Amount

Select

NewUsedPrivate Party

Summary of Request – provide cost of equipment and business summary

Declaration

I hereby authorize the release of business and/or personal credit information to First US Finance, its affiliates or assignees (1) from any source including credit bureau reporting agencies and my bank for the purpose of extending credit, (2) and to any credit reporting agency. Additionally I hereby authorize the release of my application without notice, to any other non-related potential lending sources for consideration of approval of credit. I hereby represent all information is true, correct and complete. A photo static and/or facsimile copy of this authorization shall be valid as the original.

Signature*

USA Patriot Act Notification

The following notification is being provided to you pursuant to Part 326 of the USA Patriot Act of 2001, 31 CFR 103.121(b)(5): IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT - To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, including any deposit account, loan, lease, or extension of credit, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

Applicant*

Title*

Date*

Applicant

Title

Date

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