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Application Progress

Equipment Cost(*)
Equipment Cost is a required numeric field and must contain a valid currency amount.
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 (EIN) or SSN (Sole Prop) required.
Phone #(*)
Phone # is a required field.
Business 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.
Own/Rent
Invalid Input
Landlord Name
Invalid Input
Landlord Phone
Invalid Input
Date Company Est. (under current ownership)(*)
/
Company establishment date is a required field.
Legal Structure(*)
Legal Structure is a required field.
Bank Name
Attach reference document
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

 
Owner Name(*)
First name is a required field.
Alphanumeric and less than 20 characters required
(*)
Last name is a required field.
Invalid Input
Invalid Input
Email Address(*)
Email is a required field.
Invalid Input
Phone #(*)
Phone # is a required field.
Cell #
Phone # is a required field.
Home Address
Invalid Input
(*)
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(*)
Please represent 100% ownership on this application. If business is solely owned, spousal information is required on this application.
Ownership % is a required numeric only field.
Owner 2
Owner Name(*)
Owner Name is a required field.
Alphanumeric and less than 20 characters required
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Invalid Input
Phone #(*)
Phone # is a required field.
Cell #
Phone # is a required field.
Home Address
Invalid Input
(*)
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 numeric only field.
Owner 3
Owner Name(*)
Owner Name is a required field.
Alphanumeric and less than 20 characters required
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Invalid Input
Phone #(*)
Phone # is a required field.
Cell #
Phone # is a required field.
Home Address
Invalid Input
(*)
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 numeric only field.
Owner 4
Owner Name(*)
Owner Name is a required field.
Alphanumeric and less than 20 characters required
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Invalid Input
Phone #(*)
Phone # is a required field.
Cell #
Phone # is a required field.
Home Address
Invalid Input
(*)
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 numeric only field.
Owner 5
Owner Name(*)
Owner Name is a required field.
Alphanumeric and less than 20 characters required
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Invalid Input
Phone #(*)
Phone # is a required field.
Cell #
Phone # is a required field.
Home Address
Invalid Input
(*)
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 numeric only field.
Owner 6
Owner Name(*)
Owner Name is a required field.
Alphanumeric and less than 20 characters required
(*)
Last Name is a required field.
Invalid Input
Email Address(*)
Email is a required field.
Invalid Input
Phone #(*)
Phone # is a required field.
Cell #
Phone # is a required field.
Home Address
Invalid Input
(*)
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 numeric only field.
Total Ownership: 0%
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

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, text, fax or e-mail solicitations of future lease financing services to applicant and or collections of payment.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Authorization must be checked.

Jay Driscoll

jay@gogc.com
(320) 759-3587
Geneva Capital LLC
1311 Broadway Street | Alexandria, MN 56308
M-F, 8:00am-5:00pm 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.