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Online Credit Application

Submit for approval up to $150,000 with just this easy one page application, no tax returns or proof of income required!

Are you working with a specific account manager?

Please choose a name from the drop down list.
If No please let us know how you found us?
Equipment Purchase Price*

Please enter a number from 2500 to 50000000.

How much is the equipment you are purchasing? You can include delivery and installation costs as well.
Legal Entity Type*
Business Name*

Please include your full business name as filed with Secretary of State. If you’re a sole proprietor just use your DBA name.
Business Start Date*

MM slash DD slash YYYY

What day did you start doing business? Use todays date if you are a new business.
Federal Tax ID #

This is a 9 digit number issued by the IRS. It is you social security number if your legal entity is a sole proprietor.
Business Website
Business Address*

Street Address

City

State

ZIP Code

Primary location of your business
Business Phone Number*

Please provide the phone number to your primary business location. You can use your mobile phone if you don’t have a landline.
Ownership Information

Please provide information on all owners in the business
1st Owners Name*

First

Last

Primary business owners name
Mobile Phone Number*
Email*

Please provide the email address you check regularly.
Home Address*

Street Address

City

State

ZIP Code
Social Security Number*

We cannot process your application without your social security number.
2nd Owners Name

First

Last

Additional owners name
Mobile Phone Number
Email

Please provide the email address you check regularly.
Home Address

Street Address

City

State

ZIP Code
Social Security Number

2nd owner social security number
Equipment Details

Please let us know what type of equipment you are buying and who from?
Equipment Dealer*

What dealer or vendor are you purchasing from? If you are purchasing from an individual, please put “Private Party” in this field.
Equipment Type*

Please tell us the equipment you are purchasing. including year, make and model if it is titled.
Sales Person

Who are you working with?
Phone Number

A good number to reach the vendor or dealer to request a quote of invoice.
Applicant Signature*
- Agree and Sign Online Application
The undersigned represents that all information provided with this Application is true and correct and hereby authorizes AmeriCapital or its potential assigns to obtain from third parties information Lessor deems necessary to arrive at a credit decision regarding this Application. By checking the above box, the undersigned individual as principal of and/or guarantor for the applicant, authorizes AmeriCapital, its designee, assigns or potential assigns, to review his/her personal credit profile provided by national credit bureaus in considering this Application and for the update, renewal or extension of credit to the Applicant or the collection of any resultant accounts.
Website

Online Credit Application

Ownership Information

Equipment Details