Credit Application

AM Financial
Specialists in Equipment Financing & Leasing

Specialists In Equipment Leasing 800-856-8615 734-453-8620 fax

Credit Application

You can get started right away. Provide us with the following information about your business. We make it our policy to respond to you within 24 hours. If you have any questions you can call the office during normal business hours at (800) 856-8615. Please note that we are a secure site.

Applicant Information
Company Name:
Billing Address:
City:
State:
Zip Code:	(5 digits)
Telephone:
Fax:
Equipment Location:
Nature Of Business:
Number Of Years In Business:
Years Under Present Ownership:
Federal Tax ID#:
Legal Entity (Corp., LLC, Sole Proprietor, or Partnership):
Principal/Owner Information
Principal Name:
Street Address:
City:
State:
Zip Code:
Telephone:
Principal Social Security Number:
Principal Name:
Street Address:
City:
State:
Zip Code:	(5 digits)
Telephone:
Principal Social Security Number:
Equipment Supplier Information
Supplier Name:
Supplier Address:
Supplier Telephone:
Equipment Information
Equipment Amount:	(USD)
Description Of Equipment:
Bank Information
Name Of Bank:
Business Checking Accout Number:
Telephone & Contact:
Other Information
Comments/Questions:
	I/We authorize AM Financial and any assignee to verify business and personal credit information as provided on this application for credit evaluation. Furthermore, this will be my/our authority and request to release any credit or financial information as required by AM Financial pertaining to this credit inquiry.