Corporate Financial Solutions

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EXPRESS APPLICATION

It's easy to explore Cembrus Capital credit options. Please fill out our quick credit form to get the application process moving right away.

* Indicates required fields.

Principal Owner Information

Principal 1 Name *

Social Security Number *

- -

Street Address *

City *

State *

Zip *

Ownership % *

Principal 2 Name

Social Security Number

- -

Street Address

City

State

Zip

Ownership %

Bank & Trade References

Trade Reference 1 *

Phone Number *

- -

Trade Reference 2 *

Phone Number *

- -

Bank Name *

Bank Account # *

Type of Account *

Approx. Balance *

Vendor & Equipment Information

Vendor Name *

Contact *

Equipment Description *

New or Used *

Location *

Total Cost *

Applicant warrants that all credit and financial information submitted to Lessor herewith or at any other time is true and correct. I/We authorize any financial institution or other credit references to verify information or provide additional information, which Cembrus Capital Group, Inc. and its assigns may request. I/We further specially consent to and authorize the obtaining and use of consumer credit reports now and from time to time, as may be needed in the credit evaluation and review process. The undersigned authorizes release all necessary information via mail or facsimile as requested.

Corporate Financial Solutions

Company Information

Principal Owner Information

Bank & Trade References

Vendor & Equipment Information