Terms And Conditions
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ACKNOWLEDGEMENT By clicking, the individual(s), who is either a principal of the credit applicant or a personal guarantor of its obligation, provides written instruction to FaaStrak, LLC or its designee (and any assignee or potential assignee thereof) authorizing your banks, trade references, and other financial institutions to release credit information to FaaStrak, LLC and its affiliates and review of your personal credit profile from a national credit bureau as required. Such authorization shall extend to obtaining a credit profile in considering this application subsequently for the purpose of update, renewal or extension of such credit and for reviewing or collecting the resulting account. By clicking accept, I/we affirm my/our identity as the respective individual(s) identified in the application received. You also represent that the information you have provided is true and accurate. You understand that such investigation may include seeking information as to the background, credit, and financial responsibility of your business, its officers, principals, any personal guarantors or cosigners, and any corporate guarantors if applicable. 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, or age (provided the applicant has the capacity to enter into the 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. You have the right to a written statement showing you the exact reasons of any decline. To obtain the statement, please write to us at the following address within 30 days from the date you are notified and we will send you a written statement of reasons for the decline of credit within 30 days of receiving your request for the statement. FaaStrak LLC PO Box 38763 Charlotte, NC 28278 Attn: Credit If you wish to receive the notification directly from the lender, please contact them directly for specific information.
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Vendor
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Legal Business Info
Equipment Info
Personal Guarantor Info
Signor Info
*
Legal Business Name
*
Business Phone Number
DBA
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Business Email
*
Business Structure
--select--
Corporation
LLC
Partnership
Sole Proprietorship
Website
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Time in Business :
--select--
Less Than 1 Year
1-2 Years
2-5 Years
5+ Years
Federal Tax ID Number
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Address
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State
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City
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Zip Code
Business Location Type :
Commercial Location
Home Address
P.O. Box
Vendor Name
Equipment location different than business location?
Shiping Address
City
State
Zip Code
*
Financed Amount
*
Sales Rep
*
Equipment Description
Equipment Condition
New
Used
Refurbished
Would you like to specify your desired term and type?
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Term in Months
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Lease Type
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First Name
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Last Name
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Social Security Number
*
Ownership Percentage
*
Work Phone
*
Mobile Phone
*
Contact Email
*
Home Address
*
State
*
City
*
Zip Code
Driver License
Driver License State
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Another Personal Guarantor Info
*
First Name
*
Last Name
*
Social Security Number
*
Ownership Percentage
*
Work Phone
*
Mobile Phone
*
Contact Email
*
Home Address
*
State
*
City
*
Zip Code
Driver License
Driver License State
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Terms And Conditions
Signor Name
Signor Title
Signor Email
Signor Phone
*
DOB
*
Signor Own Residence
Y
N
*
Social Security Number
(
)Add Personal Guarantor
*
First Name
*
Last Name
*
Social Security Number
*
Ownership Percentage
*
Work Phone
*
Mobile Phone
*
Contact Email
*
Home Address
*
City
*
State
*
Zip Code
(
)Add Another Guarantor
Another Personal Guarantor Info
*
First Name
*
Last Name
*
Social Security Number
*
Ownership Percentage
*
Work Phone
*
Mobile Phone
*
Contact Email
*
Home Address
*
City
*
State
*
Zip Code
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Terms And Conditions