Equipment Credit Application

Borrower Company Information
Legal Company Name DBA Name
Type of Business Business Start Date
Annual Revenue FEIN#
Company Street Address City
State Zipcode
Personal Information on Officers, Partner or Guarantor
Owner Name Title
Social Security Number Ownership %
Home Address City
State Zipcode
Business Phone Email
Mobile Phone Home Phone
Use of Funds & Desired Funding Amount
Desired Funding Amount Date to take funds



The above information together with any accompanying financial statements, schedules, or other material is submitted for the purpose of obtaining credit and is warranted to be too, correct and complete.

The undersigned hereby warned that any individual identified above who is either a principle, a personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, has provided his / her written authorization for inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and he / she will hold the Balboa Capital and its assigned, agents or nominees harmless from same you understand that such investigation may include seeking information as to the background credit and financial do any of your officers and principles or any of them the federal equity credit opportunity act prohibits creditors from discriminating against credit applications on the basis of race, color, religion, national origin, sex, marital status or age provided the applicant has the capacity to enter into the binding contract because all of part of the applicant’s income derives from any public assistance program or because the applicant has in a good-faith exercise any right under the consumer credit protection act.

If for any reason your application for business credit is denied, you have the right to a written statement of the specific reason of denial.

Tilting the statement, please write to Balboa Capital Corp, 575 Anton Boulevard, 12th floor, Costa Mesa, California 92626 written 60 days from the date you notified you of our decision you will we will send you a written statement for reasons of for the denial of credit within 30 days of receiving a request for the statement.

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Signature Certificate
Document name: Equipment Credit Application
lock iconUnique Document ID: 76edbd2241a3c81cae538669b1bef91bfc6377e9
Timestamp Audit
November 9, 2020 10:45 am PSTEquipment Credit Application Uploaded by Balboa Capital - IP