Alliance1.us Online: No-Obligation Form

NO-OBLIGATION LOAN / LEASE APPLICATION

The information you provide will be subject to verification prior to loan funding. All information provided by you will be kept strictly confidential and be delivered in a secure method to a Alliance Commercial Equipment.

PRINCIPAL'S NAME:
Title:
Company name:
Street Address:
City / Town:
State / Province:
Zip / Postal Code:
Telephone Number:
Cellular Phone:
Fax:
Email:
	Start-up	Existing Business	Years in Business:
	Sole Proprietorship	Partnership	Corporation
Industry:
Amount of Financing Requested:

Purpose of Financing:	Franchise Purpose	Equipment Financing	Start-up Financing
	Working Capital	Receivables Financing	Factoring
	Other (Please Specify):

Briefly Describe the purpose of Financing:
Personal Guarantees Available:	Yes No
Credit History of Owner:	Excellent	Satisfactory	Poor
Credit History of Company:	Excellent	Satisfactory	Poor
If a Business Purchase:	Purchase Price $
	Cash Invested by Buyer$
	Total Business Assets $
	Total Liabilities $
	Total Business Net Worth $
	Company's Annual Revenue $
	Company's Annual Profit $

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