Phone: (800) 451-7087

Email: sales@westernequipmentfinance.com

Commercial Credit Application

Legal Name of Business *

Doing Business As (DBA)

Street *

City *

State *

Zip/Postal Code *

County *

Business Email *

Business Phone *

# of Years in Business *

Business Start Date * +

Form Of Business *

State of Incorporation

Federal Tax ID #

Industry *

Type of Locations

# of Locations

Primary Contact - Entity Owner Information

First Name *

Middle Initial

Last Name *

Generation

Contact Title *

Mobile Phone Number *

Email Address

Is your residential address the same as your business address? *

Yes

No

Street Address *

City *

State *

Zip Code *

Are you the entity owner? * 🛈

Yes

No

Ownership % *

Social Security # *

Date of Birth * +

US Citizen *

Is there an additional entity owner? * 🛈

Yes

ENTITY OWNER 2

First Name *

Middle Initial

Last Name *

Generation

Title *

Mobile Phone Number *

Email Address

Is your residential address the same as your business address? *

Yes

No

Street Address *

City *

State *

Zip Code *

Ownership % *

Social Security # *

Date of Birth * +

US Citizen *

Is there an additional entity owner? * 🛈

Yes

No

ENTITY OWNER 3

First Name *

Middle Initial

Last Name *

Generation

Title *

Mobile Phone Number *

Email Address

Is your residential address the same as your business address? *

Yes

No

Street Address *

City *

State *

Zip Code *

Ownership % *

Social Security # *

Date of Birth * +

US Citizen *

If total ownership not 100%, please add notes in the Additional Information section below.

Equipment Information

Total cost of equipment to be financed ($5,000 minimum) *

Equipment Condition *

Description of equipment to be financed
(Include year, make/model and brief description of all equipment to financed) *

0/60 characters

When the equipment is not in use, will it be located at the business address? * 🛈

Yes

No

Equipment Street Address *

City *

State *

Zip Code *

County *

Dealer: Business Name

Dealer: Phone

Dealer: Contact Name

Dealer: Email

Additional Information

Are you a current customer of Western Equipment Finance? *

Yes

No

Attach Drivers' License copy for all Entity Owners

Attach copy of 3 most recent Business bank statements 🛈

Attach 2 most recent years Business Tax Returns or 2 years Reviewed/Audited Financial Statements, most recent year-end Financial Statements, current Year over Year Interim Financial Statement, and Debt Schedule 🛈

Attach current Personal Tax Return and current year Personal Financial Statement for all Entity Owners 🛈

Attach any additional information

Additional Comments
(Include any trade-in, pay-off or down payment information)

Credit Authorization *

I authorize that this application submitted electronically shall have the same force and effect as if the application bore an inked original signature(s). The above information, together with any accompanying financial statements, schedules, or other materials, is submitted for the purpose of obtaining credit and is warranted to be true, correct, and complete. I authorize Western Equipment Finance, a division of Western State Bank, and/or its designees to confirm and verify all information entered above, which may include obtaining credit reports either in connection with this application or at any time during the term of the lease/finance agreement. I agree to release and waive all claims against Western Equipment Finance, a division of Western State Bank, and/or its designees for all acts or omissions that occur in verifying the information. Customer Identification Program: To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means to you: when you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver's license and other identifying documents.