Application developer December 10, 2020 December 12, 2020 Equipment Financing Credit Application Step 1 of 2 50% Let's begin. Tell us about your business.Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.Company InformationWhat is the complete legal name of your company?**What is the DBA name? (If Applicable)*What is the physical location of your business? Address Line 1 Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code (Note: please do not list PO Boxes)Is your billing address the same as your business address?YesNoWhat is your billing address? Address Line 1 Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your business phone number?What is your business email address?* Please provide your business website URL or Google Listing Page* When did you start your business? Date Format: MM slash DD slash YYYY What is the structure of your company?SelectSole ProprietorCorpPartnershipLLCOtherFederal ID#(Please enter as xx-xxxxxx) Tell us about your Company's Ownership.What is your name?** First Name Middle Initial Last Name Suffix Title*Ex. President, Member, or Owner What percentage of ownership do you have?*What is your social security number?*(Please enter as xxx-xx-xxxx) What is your home address? Address Line 1 Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your personal cell or home phone number?Are there additional owners of your company?YesNoOwner #2Name First Name Middle Initial Last Name Suffix Title*Ex. President, Member, or Owner % Owned*SSN*(Please enter as xxx-xx-xxxx) Home Address Address Line 1 Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneEmail Address* Let’s talk about the equipment you are purchasing.Is the equipment new or used?NewUsedPlease describe the equipment you are purchasing.How much does the equipment cost?What is your gross annual income?*Please enter 0 for start-up companiesHow did you hear about us?Application Verification By checking this box, you agree to serve as guarantor of the above transaction. Each of the above listed individuals is/are willing to serve as guarantor of the above transaction. Each of the undersigned on his or her behalf authorize(s) Pawgo LLC and its nominees to periodically obtain, and all such parties to release, credit and financial information (personal or business) requested by Pawgo LLC. or its nominees and for such parties to provide information to others regarding their relations with the undersigned. I/we completed this application to obtain credit for the applicant and certify that all statements contained herein are true and correct. Term I agree to the above terms Confirmation Page
