GMA Capital, Inc.

7825 NW 29th Street #105
Doral, FL 33122
Toll Free 800 230 5721
Tel: (305) 477 4448
Fax: (305) 477-4449

Need to Buy Equipment?

Credit Application

Download Word Document

BUSINESS
Business Name/LESEE: DBA:
Address: City:
State/Zip Code: Country:
Nature of Business: Fed Tax ID:
Years in Business: Dun & Bradstreet No.
Type of Business: Fax:
Phone: Website:
Location of Equipment:    

OWNERSHIP
Principal's name Title:
Ownership % Home Phone:
Social Security # Driver's License No.
Home Address: City:
State/Zip Code:
own rent
Principal's name Title:
Ownership % Home Phone:
Social Security # Driver's License No.
Home Address: City:
State/Zip Code:
own rent
Principal's name Title
Ownership % Home Phone:
Social Security # Driver's License No.
Home Address: City:
State/Zip Code:
own rent

BANKS
Bank: Branch:
Tel: Fax:
Account Under Name Of: Contact Name:
Checking Acct No: Email:
Current Balance:    
Bank: Branch:
Tel: Fax:
Account Under Name Of: Contact Name:
Checking Acct No: Email:
Current Balance:    
Bank: Branch:
Tel: Fax:
Account Under Name Of: Contact Name:
Checking Acct No: Email:
Current Balance:    

TRADES
Company Name:
Account No:
Telephone No:
Contact Person:

EQUIPMENT (When Applicable)
Vendor: Contact:
Address: City:
State/Zip Code: Telephone:
Equipment to be leased
Cost of Equipment: Terms of lease:
Rate/Mo. Payment: Deposit Received

By clicking on the check box below, the undersigned individual as principal of and/or guarantor for the applicant, authorizes the funding company (or Broker/Lessor), its designed, assign or potential assigns, to review his/her personal credit profile provided by national credit bureaus in considering this Application and for the purpose of the update, renewal, or extension of credit to the Applicant of the collection of any resultant accounts. A fax or photocopy of this authorization shall be valid as the original.
Copyright© 2006 GMA Capital

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