FINANCING Apply for financing in just minutes. It’s that easy! Company Information UPLOAD YOUR BUSINESS CARD OR REFERENCE SHEET OR FILL OUT THE INFORMATION BELOW. FEDERAL ID* ANNUAL SALES ADDRESS* CITY* STATE* ZIP / POSTAL CODE* PHONE* EMAIL ADDRESS* Principal One Information PRINCIPAL NAME* SOCIAL SECURITY NUMBER % OF OWNERSHIP HOME ADDRESS CITY* STATE / ZIP CODE* Principal Two Information PRINCIPAL NAME* SOCIAL SECURITY NUMBER % OF OWNERSHIP HOME ADDRESS CITY* STATE / ZIP CODE* Equipment Information BRIEF EQUIPMENT DESCRIPTION, VENDOR AND PRICE Applicant certifies they are applying for business purposes only and authorizes, and certifies that each individual named on this application authorizes, Intech Funding Corp. and its designee(s), agent(s), affiliate(s), other lenders, or its assignee(s) ("Intech") to investigate all information contained herein and accompanying this application and to request and obtain commercial and consumer credit reports on the business and each individual. Applicant authorizes and requests all parties to release any information requested concerning personal or business credit standing. This application in its entirety, including all authorizations and certifications, shall apply to any future request for financing from Intech, and such authorizations and certifications shall be deemed repeated at such time.
