Online Application Andy

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Time Owner

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Business Name

Business Type

Business Website

Federal Tax ID #

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Vendor Name

Equipment Description

Cost of equipment

First Name

Last Name

Business Owners Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Business Ownership Percentage %

Cell Phone Number

Social Security Number

Years Licensed

Corp Only

Internal Stretch Field

Business Owner # 1 Signature

Clear Signature

Date / Time

Date

Time

Print Name

Business Owners Consent

By Signing this credit application, you are agreeing to the information below: The undersigned represents that this application is for credit for business purposes only and all information provided with this Application is true and correct, and hereby authorizes Stretch Investments Inc. and its designee, assigns or potential assigns and its and their affiliates or any lending source to whom this application is submitted (collectively, "Creditors") to obtain from credit bureaus and other third parties, and share, information any of them deems necessary to arrive at a decision regarding this Application, including credit and criminal background checks. By signing below, the applicant and undersigned individual(s) as principal of and/or guarantor for the applicant, authorizes all such Creditors to review and share its/his/her personal credit profile provided by a national credit bureau in considering this Application and for the purpose of update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. Additionally, this authorization permits Creditors to share and exchange information and to request, obtain and review bank, financial or other information from past, present or potential Creditors. I authorize all deposit, borrowing, financial and trade information to be released by telephone or fax. A photocopy or fax of this authorization shall be valid as the original. To help fight terrorism and money laundering, Federal Law requires banks to verify the information you provide, which may include driver's license or other documents, to identify you. Adverse Action/ECOA. If this application for business credit is denied, you have a right to a written statement of the specific reasons for the denial.

Online Application Andy

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