Specialty Truck and Construction Equipment Financing

BUSINESS INFORMATION
*
Required fields
*Company Name:
*Business Phone:
*Business Fax:
*Physical Address:
*City:
*Zip Code:
*Years Under Same Ownership:
*Type of Business:
Corporation
Partnership
Proprietorship
Municipality
Nonprofit
LLC
*Federal I.D. No.:
*Date of Incorporation/Organization:
 
PERSONAL INFORMATION
Include all owners to account for 100% of company ownership
Primary Contact:
(First and Last Name)
*Title:
*Ownership %
*SSN:
*Home Phone:
*Business Phone:
Alternate Phone:
*E-mail Address:
*Home Address:
*City:
*State:
*Zip Code:
   
EQUIPMENT INFORMATION
 
Equipment Description
*Quantity:
*Price:
*Cab & Chassis:
*Equipment Body:
*YEAR
*MAKE
*MODEL
Serial #
   
*Location where equipment will be based
(if different from above):
Business Address
Home Address
Other (please describe below)
Address:
City:
State:
Zip Code:
   
Equipment Seller
 
*Name:
*Address:
*City:
*State:
*Phone:
*Contact Name:
Comments
 

*Please enter all pertinent information about your company that that will help us in making a quick approval for your financial request.


The Applicants represent and warrant that all credit and financial information submitted to
OVERFLOW FINANCIAL SERVICES is true and correct and that Overflow Financial Services may obtain any credit information necessary pertaining to this application.
Submitting this questionnaire is equivalent to a signature.

    

Financing Services

• Equipment Leasing
Specialty Truck Financing
Church Financing Program
Medical Working Capital Loans
 
Call Now 708-386-9480
Member of National Association of Equipment Leasing Brokers
Member National Association
of Equipment Leasing Brokers

Overflow Financial Services, Inc.
2363 E. 70th Street, Suite 1
Chicago, IL 60649
Phone: 773-324-5415 • Fax: 773-324-5416
E-Mail: info@overflowfinancial.com