Company/ Organization Information

Required

Legal Name of Business

Business Tax ID #

DBA Name of Business

Type of Business

If a non-profit organization, select other.

Name & Title of Officer responsible for signing documents:

Phone

(###)

###

####

Address of Business

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years in Business

Description of Business/ Organization

Banking/ Reference

This section is not required for online submissions nor is it required to start any term approvals.

Bank Name:

Account #

Type of Account

Average Balance

Lease Company:

Date Commenced

YYYY

Amount Financed:

Term:

Vendor:

Equipment Information

Company: Kingdom Technology partners, LLC Office: (844) 587-4636

Equipment Description:

Total Cost of Equipment

Requested Term:

24 Mo.

36 Mo.

48 Mo.

60 Mo.

// NO SIGNATURE REQUIRED //

By submitting this credit application, you authorize First Option Capital, or it’s assigns to obtain business and additional information about your organization, including bank statements and financial reports. You also authorize First Option Capital to transmit this application along with any of the foregoing information obtained in connection with this application, to any of the recipients for the foregoing purposes.

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