IAAPA Customer Application | Advantage+ Financing

Business Name*

Business Contact*

First Last

Phone*

Fax

Email*

Website

Address*

Street Address Address Line 2 City State ZIP Code

Business Type

Number of Employees

Annual Sales

Years in Business

Ownership

Business Structure

Proprietorship
Partnership
Corporation

Federal Tax ID

First Principal

Name of First Principal

First Last

Title

% Ownership

SSN

Phone

Home Address

Street Address City State ZIP Code

Is There More Than One Principal?

Yes
No

Second Principal

Name of Second Principal

First Last

Title

% Ownership

SSN

Phone

Home Address

Street Address City State ZIP Code

Equipment

Vendor

Phone

Contact

First Last

Equipment Condition

New
Used

Equipment Description

Equipment Cost

Loan Term

Estimated Credit Score

300 - 600
601 - 650
651 - 700
700+

How did you hear about Advantage+?

Comments

I authorize Advantage+ and its agents to investigate my business and personal credit.