Document Request Form

Applicant Name(Required)

The applicant below certifies that he or she is legally responsible for the loan agreement.

First Last

Applicant Cell Phone Number(Required)

Applicant Email Address(Required)

Applicant Home Address(Required)

Street Address City State ZIP Code

Signed California Disclosure Document

Max. file size: 50 MB.

Signed New York Disclosure Document

Max. file size: 50 MB.

Please upload a photo or photocopy of the APPLICANT'S Driver's License

Drop files here or

Max. file size: 50 MB.

FRONT side only.

Exact legal business name (if applicable) for Corporations or LLCs. Not required for Sole Proprietors

For Corporations - State of Incorporation(Required)

Choose State from the list of drop-downs below:

State

Do you operate under a d/b/a (Doing Business As...)?(Required)

If you operate under a d/b/a, please list the DBA name:

Account Manager(Required)

Please select the Advantage+ Account Manager that you are working with from the drop-down list below:

Application Number for your Loan(Required)

This 5 or 6 digit number can be found in the subject line of your approval email.

Length of your Loan - Term Selected(Required)

Please choose the number of months to repay the loan from the available choices in your Approval Letter. (Not all terms are available to each applicant)

18 months

24 months

36 months

42 months

48 months

60 months

Other Term (as offered on Approval Letter)

Business Mailing Address(Required)

Street Address City State ZIP Code

Address where the equipment you are purchasing will be located (if different than Business Mailing Address)(Required)

Same as Business Mailing Address

Street Address City State ZIP Code

Was a Spouse or additional Personal Guarantor noted on your approval letter/email?(Required)

Yes

How many additional Personal Guarantors required?(Required)

Based on the details found in your loan approval letter/email, please choose from 0 to 5 additional Personal Guarantors from the drop-down list below.

(1) Additional Personal Guarantor listed on my Approval Letter

(2) Additional Personal Guarantors listed on my Approval Letter

(3) Additional Personal Guarantors listed on my Approval Letter

(4) Additional Personal Guarantors listed on my Approval Letter

(5) Additional Personal Guarantors listed on my Approval Letter

Please list the LEGAL NAME of the 1st additional person that is listed as Personal Guarantor on your loan.(Required)

First Last

Please list the EMAIL ADDRESS of the 1st additional person that is listed as a Personal Guarantor on your loan.(Required)

Must be different than the Applicant's email address

Please list the PHONE NUMBER of the 1st additional person that is listed as a Personal Guarantor on your loan.(Required)

Please list the HOME MAILING ADDRESS of the 1st additional person that is listed as a Personal Guarantors on your loan.(Required)

Street Address City State ZIP Code

Please upload a photo or photocopy of the DRIVER'S LICENSE of the 1st additional person listed as a Personal Guarantor on your loan

Drop files here or

Max. file size: 50 MB.

FRONT side only.

Please list the LEGAL NAME of the 2nd additional person that is listed as Personal Guarantor on your loan.(Required)

First Last

Please list the EMAIL ADDRESS of the 2nd additional person that is listed as a Personal Guarantor on your loan.(Required)

Must be different than the Applicant's email address

Please list the PHONE NUMBER of the 2nd additional person that is listed as a Personal Guarantor on your loan.(Required)

Please list the HOME MAILING ADDRESS of the 2nd additional person that is listed as a Personal Guarantors on your loan.(Required)

Street Address City State ZIP Code

Please upload a photo or photocopy of the DRIVER'S LICENSE of the 2nd additional person listed as a Personal Guarantor on your loan

Drop files here or

Max. file size: 50 MB.

FRONT side only.

Please list the LEGAL NAME of the 3rd additional person that is listed as Personal Guarantor on your loan.(Required)

First Last

Please list the EMAIL ADDRESS of the 3rd additional person that is listed as a Personal Guarantor on your loan.(Required)

Must be different than the Applicant's email address

Please list the PHONE NUMBER of the 3rd additional person that is listed as a Personal Guarantor on your loan.(Required)

Please list the HOME MAILING ADDRESS of the 3rd additional person that is listed as a Personal Guarantors on your loan.(Required)

Street Address City State ZIP Code

Please upload a photo or photocopy of the DRIVER'S LICENSE of the 3rd additional person listed as a Personal Guarantor on your loan

Drop files here or

Max. file size: 50 MB.

FRONT side only.

Please list the LEGAL NAMEof the 4th additional person that is listed as Personal Guarantor on your loan.(Required)

First Last

Please list the EMAIL ADDRESS of the 4th additional person that is listed as a Personal Guarantor on your loan.(Required)

Must be different than the Applicant's email address

Please list the HOME PHONE NUMBER of the 4th additional person that is listed as a Personal Guarantor on your loan.(Required)

Please list the MAILING ADDRESS of the 4th additional person that is listed as a Personal Guarantors on your loan.(Required)

Street Address City State ZIP Code

Please upload a photo or photocopy of the DRIVER'S LICENSE of the 4th additional person listed as a Personal Guarantor on your loan.

Drop files here or

Max. file size: 50 MB.

FRONT side only.

Please list the LEGAL NAME of the 5th additional person that is listed as Personal Guarantor on your loan.(Required)

First Last

Please list the EMAIL ADDRESS of the 5th additional person that is listed as a Personal Guarantor on your loan.(Required)

Must be different than the Applicant's email address

Please list the PHONE NUMBER of the 5th additional person that is listed as a Personal Guarantor on your loan.(Required)

Please list the HOME MAILING ADDRESS of the 5th additional person that is listed as a Personal Guarantors on your loan.(Required)

Street Address City State ZIP Code

Please upload a photo or photocopy of the DRIVER'S LICENSE of the 5th additional person listed as a Personal Guarantor on your loan

Drop files here or

Max. file size: 50 MB.

FRONT side only.

Please upload a photo or photocopy of your Invoice, Quote or Bill of Sale

Final amount to be financed - must include taxes, shipping, and any associated fees.

Max. file size: 50 MB.

Is this loan for a titled vehicle?(Required)

Yes

Are you purchasing equipment from a private party?(Required)

Yes, private party seller

No, purchasing from company/dealer/manufacturer/etc.

Private Party Seller Name(Required)

First Last

Private Party Seller Phone Number(Required)

Private Party Seller Email Address(Required)

Private Party Seller Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sales Tax(Required)

Sales Tax applies to Titled Vehicles. If you are not purchasing a Titled Vehicle, you may simply choose "Not Applicable".

I am Tax-Exempt. Enter your Motor Carrier number below:

I will pay applicable Sales Taxes myself at the DMV

Include all applicable Sales Tax payments in my loan contract

Sales Tax is already included in my Invoice from the Vendor

Not Applicable (this is a non-titled equipment purchase)

Motor Carrier number (MC#)

If Applicable: Please upload a photo or photocopy of your Title (front and back).

Max. file size: 50 MB.

Is the vehicle paid in full, or is there a current lien on the vehicle?(Required)

Yes, vehicle is free and clear of any liens

No, vehicle is not paid in full and has a current lien on the title

Lien Payoff Letter

Max. file size: 50 MB.

Please upload a bank payoff letter. Letter should include Equipment description (Year, Make & Model), VIN number, amount owed and bank information - including point of contact name, phone number and email address.

If you are unable to upload the documents listed above, please email them to your Account Manager or insidesales@AdvantagePlusFinancing.com

I have these documents and will email them instead of uploading them.

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