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(844) 724-7376
Welcome to fast and easy financing
Financing Information
Link to Equipment Listing (Optional)
Total Cost of the Equipment*

USD
Down Payment (Optional)

USD

REQUESTED LOAN AMOUNT: $0

Requested loan amount is rounded up to the nearest $1.
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Equipment Information
Equipment Year*
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Equipment Manufacturer*
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Model
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Equipment Category*
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Will This Be Used For:

BUSINESS

Sole Props, Farmers, LLC's, Corps and LLP's

PERSONAL

For personal use only.
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Personal Information
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. As a
result, you may be asked your name, address, date of birth, and other
information that will allow the financial institution to identify you. You may
also be asked to provide a copy of your driver's license or other identifying
documents.

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First Name*
Last Name*

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Middle Initial (Optional)
Suffix (Optional)

Phone Number*
Phone Number Type*
 Cell Phone
 Home Phone
Email Address*
Do Not Share Contact Info With Seller
How does this affect my application?
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Home Address
Postal Code*
Street 1*
Street 2 (Optional)
City*
State*
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Country*
USA


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Residence Information
Own or Rent*
 Own
 Rent
Residence Move In Month (Optional)
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Residence Move In Year (Optional)

Monthly Payment (Optional)

USD
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Verify Identity
Immigration Status*
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Marital Status*
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Last 4 of SSN*
By checking the box below, and clicking "Next", I/We
 * Affirm that I/We have read, understand and agree to this website’s  Privacy
   Policy,  Legal Disclaimer, and Terms of Use.
 * Affirmatively consent and agree: (i) that I/We hereby represent that I/we
   am/are authorized to provide all information submitted and hereby provide
   my/our written Instructions to Express Tech-Financing, LLC and its
   affiliates, assigns, successors and lending partners (collectively
   "Currency") for it to obtain information concerning the applicant and me/us
   from any company, entity, organization, government agency (including law
   enforcement) or business, including my/our consumer and business credit
   report(s), employment information, business dealings and trade references;
   (ii) that Currency may use and share any gathered information from or about
   me/us with lenders for consideration for a consumer or commercial loan,
   including any loan or lease to finance the purchase of equipment; and (iii)
   that should any lenders provide me/us with credit, pursuant to this
   application, this affirmation shall remain in full force and effect and these
   lenders or lending sources, shall have the right to periodically update
   my/our credit information from any source, including requesting or obtaining
   additional business credit report(s) through any credit reporting agencies,
   companies, or bureaus, for the purposes of reviewing the account(s),
   modifying the credit provided, invoicing, taking collection actions, and/or
   for any other legitimate purpose associated with the credit account, as
   needed.
 * Represent all information provided is true, accurate and complete.
 * Understand that these written instructions to Currency may result in a soft
   or hard credit inquiry related to Currency or any of its lending partners
   appearing on my/our credit report(s).
 * Understand and consent to subsequent credit inquiries if my/our application
   for a credit product is matched with one of Currency's lending partners, each
   of which may appear on my/our credit report(s).
 * Further acknowledge, consent, and agree that Currency may obtain information
   from my/our consumer report(s) and otherwise in order to: (i) confirm my/our
   identity; (ii) avoid fraudulent transactions in my/our name; (iii) to
   evaluate my/our and any applicant’s initial and continuing creditworthiness;
   and (iv) to update, renew, confirm, extend, supplement, enforce and collect
   on any credit transaction resulting from my/our application.
 * Waive any right or claim I/We would otherwise have under the Fair Credit
   Reporting Act, the Drivers' Policy Protection Act and the Gramm-Leach-Bliley
   Act in the absence of this continuing consent
 * I/We consent Currency to send any notices required by law electronically to
   the electronic mail address(es) I/We have provided.
 * Confirm that I/we can receive and access electronic records, including the
   ability to receive email and access PDF files.
 * Any Agreement may be executed by an electronic signature. Such electronic
   signature shall have the same force and effect as any original ink-signed
   document. Facsimile or copies of this fully executed document shall be
   considered to be an original document for all purposes and admissible in any
   Court or administrative tribunal. I/We also understand the option to opt out
   of electronic document delivery and signature and receive any document in
   non-electronic form as explained in section 7 of the Terms of Use.

I have read the above disclaimer and consent to its terms.
Please scroll through the whole agreement to continue. 
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Tell Us About Your Business
Business Name*
Business Phone Number*
Industry*
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Business Start Month*
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Business Start Year*

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Business Address
Postal Code*
Street 1*
Street 2 (Optional)
City*
State*
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Country*
USA


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Business Information
Business Structure*
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Business Ownership Percentage*
Annual Business Income (Optional)

USD
Business EIN (Tax ID) (Optional)
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Employment
Employment Status*
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Gross Monthly Income*

USD
Other Monthly Income (Optional)

USD
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