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Application Progress

TERMS
Equipment Cost(*)
Equipment Cost is a required numeric field.
Desired Term(*)
Desired Term is a required field.
Equipment Description(*)
Equipment Description is a required field.
Vendor
Invalid Input
Sales Rep
Invalid Input
Business Name(*)
Legal business name is a required field.
Primary Contact(*)
Primary contact is a required field.
Contact Email(*)
Must be a valid email address.
Contact Cell #(*)
Cell number is a required field.
 
Business(*)
Legal business name is a required field.
DBA
Invalid Input
Federal Tax ID
Federal Tax ID is a numeric field.
Primary Phone #(*)
Phone # is a required field.
Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip Code is a required field.
Equipment Location
Invalid Input
(*)
Equipment address is a required field.
Invalid Input
(*)
Equipment city is a required field. Equipment state is a required field. Equipment zip is a required field.
Date Company Est. (under current ownership)(*)
/
Company establishment date is a required field.
Legal Structure(*)
Legal Structure is a required field.
Primary Contact
Invalid Input
Invalid Input
Must be a valid email address.
Bank Name
Attach documents (Banks-(3 months cover pages), PFS (if under 2yrs in Business))
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

 
Owner Name(*)
First name is a required field.
Invalid Input
(*)
Last name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 2
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 3
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 4
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 5
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
Social Security Number(*)
Social Security Number is a required field.
% of Ownership(*)
Ownership % is a required field.
Owner 6
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Total Ownership: 0%
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
 

Review

Terms

Equipment Cost(*)
Amount to Finance is a required numeric field.
Desired Term(*)
Desired Term is a required field.
Equipment Description(*)
Equipment Description is a required field.
Vendor
Invalid Input
Sales Rep
Invalid Input

Business

Business(*)
Business Name is a required field.
DBA
Invalid Input
Federal Tax ID
Federal Tax ID is a numeric field.
(*)
Business Phone is a required field.
(*)
Business Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip Code is a required field.
Equipment Location(*)
Business Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip Code is a required field.
Invalid Input
Time in Business(*)
/
Invalid Input
Legal Structure(*)
Legal Structure is a required field.
Primary Contact
Invalid Input
Invalid Input
Invalid Input
Bank Name

Owner(s)

Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 2
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 3
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 4
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Owner 5
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
Social Security Number(*)
Social Security Number is a required field.
% of Ownership(*)
Ownership % is a required field.
Owner 6
Owner Name(*)
Owner Name is a required field.
Invalid Input
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Phone #(*)
Phone # is a required field.
Home Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip is a required field.
Date of Birth(*)
/ /
Date of Birth is a required field.
Social Security Number(*)
Social Security Number is a required field.
Citizenship Status(*)
Citizen Permanent Resident Temporary Resident Other
% of Ownership(*)
Ownership % is a required field.
Total Ownership: 0%
 

Terms and Conditions

By checking this box, the applicant(s) certifies that all information contained in this application, and all attachments hereto, are true and accurate to the best of the applicant(s) knowledge and are made for the purpose of obtaining credit for business purposes, and not for personal or family use. The applicant(s) hereby authorize Geneva Capital L.L.C. and its assigns to obtain and use consumer credit reports on the undersigned, now and from time to time, as may be needed in the credit evaluation and review process if credit is extended and waives any right or claim the applicant(s) would otherwise have under the Fair Credit Reporting Act in absence of this continuing consent. The applicant(s) further authorize any government agency, bank or financial institution to release credit information on the applicant(s) accounts to Geneva Capital L.L.C. and its assigns. If credit is extended, Applicant agrees that by selecting the “Submit Application Securely” button this electronically transmitted application shall be deemed to be binding, valid, genuine and authentic as an original-signature document for all purposes. The applicant(s) further authorize Geneva Capital L.L.C. to mail, fax or e-mail solicitations of future lease financing services to applicant.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

David Boike

david@gogc.com
(320) 759-3572
Geneva Capital LLC
522 Broadway Street | Alexandria, MN 56308
M-F, 8:00am-5:15pm CST

Note: Financing is for equipment that is to be used for business purposes. Quoted payments do not include taxes, maintenance, or insurance. Quotes are subject to credit approval. Terms for start-up companies may be structured differently depending on industry and credit strength of the lessee.