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 $150,000

  1. Vendor Quote or Proposal
  2. 3 current months business bank statements (all pages)
  3. Please include a summary of your business

For Equipment Finance requests more than $150,000

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

For Working Capital requests

  1. 3 – 6 current months business bank statements (all pages)
  2. Summarize reason for capital request

    Company Information

    All information marked with an asterisk (*) is required.

    Legal Business Name*

    Trade Name

    Company Address*

    City*

    State*

    Zip*

    Telephone*

    Fax

    Website

    Federal Tax ID*

    Years in Business*

    Gross Annual Revenues*

    State Business is Registered*

    Describe Services*

    Legal Type*

    Business Bankruptcy Filed?

    If YES, date discharged


    Personal InformationPlease complete information for all Principals / Officers / Guarantors

    Select

    Personal Bankruptcy Filed?

    If YES, date discharged

    Name*

    Title*

    % Ownership*

    Social Security #*

    Home Address:*

    City*

    State*

    Zip*

    Select

    Home Phone

    Cell*

    Email*

    Monthly Household Income*

    Name

    Title

    % Ownership

    Social Security #

    Home Address

    City

    State

    Zip

    Select

    Home Phone

    Cell

    Email

    Monthly Household Income


    Company Bank ReferencePlease provide current three months of business bank statements

    Bank Name

    Contact

    Phone #

    Acct #

    Bank Name

    Contact

    Phone #

    Acct #


    Loan ReferencesPlease attach copies of recent monthly payment statements for each account

    Lender Name

    Contact

    Phone

    Acct #

    Lender Name

    Contact

    Phone

    Acct #


    Equipment Vendor InformationPlease attach copies of equipment quotes, proposals or invoices

    Vendor Name

    Address

    Phone

    Equipment Description

    Amount

    Select


    Summary of Requestprovide cost of equipment and business summary


    Declaration

    I hereby authorize the release of business and/or personal credit information to First US Finance LLC, 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


    Upload #1 (Maximum file size: 2mb)

    Acceptable files: pdf | txt | doc | jpg

    Upload #2 (Maximum file size: 2mb)

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    Upload #3 (Maximum file size: 2mb)

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    Upload #4 (Maximum file size: 2mb)

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    Upload #5 (Maximum file size: 2mb)

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    Upload #6 (Maximum file size: 2mb)

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    For files larger than 2mb please email to: Sales@FirstUSFinance.com