Bizfi

Online Application

Business Details

Equipment Details

Ownership Details

Credit Authorization

This is a secure application, all data collected will be held in a GDPR compliant environment.

You will be contacted via these details
Applicant E-mail Address *
Applicant's Mobile Number *

Enter your 10 digits mobile number Enter a valid mobile number. Only 10 digit allowed.
Business Information
Full Legal Business Name *
DBA Name (if applicable)
Federal Tax ID *
Enter your 9 digits Tax ID Number Enter valid Tax ID Number. Only 9 digit allowed.
Business Structure
Business Phone Number

Enter your 10 digits mobile number. Enter valid mobile number. Only 10 digit allowed.
Business Website

Ex: www.example.com
Please enter the valid URL.
Address *
Street Address Address Line 2
City State/Region/Province Postal / Zip Code Only 5 digit allowed.
Country
Time In Business

Equipment Details
Vendor (Equipment Reseller) *

Example "Komatsu"
Contact Name *

Of sales representative
Contact Number *

Enter your 10 digits mobile number Enter valid mobile number. Only 10 digit allowed.
Contact Email *
Equipment Description *

Example: 3x JCB Bobcats
Equipment Condition
Total Equipment Invoice Value *

$ USD

We apologize, this amount is lower than the minimum threshold we can support at this time
Minimum amount is: $7000
Click here if you have a quote or invoice to submit.

Don't worry you can always send this later.
File Upload
Choose File
Upload Your File
Only PDF files are allowed!

File Name:

Business Ownership Details

Any director with 25% ownership or more will need to complete an authorization. It is the industry standard to have at least 85% of ownership to submit. Contact us for info on "Corporate only" submissions.
Name *

Prefix First Middle Initial Last
Position *
Ownership % *
Social Security Number *
Home Address *

Street Address Address Line 2
City State/Region/Province
Postal / Zip Code Only 5 digit allowed.
Country
Home Phone Number *

Enter your 10 digits mobile number. Enter valid mobile number. Only 10 digit allowed.
Additional Owners

Information added below will email your partners a personalized form to complete.
- Name *
- Ownership% *
- Email *
Addition Owners
- Name *
- Ownership% *
We noticed you had less than 85% ownership, please enter the emails of other owners so we can send them a form to fill in.
Any owner with more than 18% ownership of the company will need to complete a form. Please add their email here.

Credit Authorization
Declaration *

Financing is for business purposes. Quoted options may or may not include taxes, maintenance or insurance. All options are subject to credit approval and may change without notice. Submissions are for established entities and assume credit in good standing. Options and structure for challenged credits may vary. Formats for startup companies are available.

Everything that I/we have stated in this application is correct and to the best of my/our knowledge. I agree to notify you of any material change(s) in my financial condition. By checking this box, each undersigned individual(s), who is either a principal of the credit applicant listed or a personal guarantor of its obligations, provides electronic instruction to BizFi LLC or its designee (and any assignee or potential assignee thereof) authorizing review of their personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purpose of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A photostat or facsimile copy of this authorization shall be as valid as the original.

By assigning electronic permission, I/we affirm my/our identity as the individual(s) identified in this online application. I/we hereby authorize our banks, trade references and financial institutions the right to release credit information to the lessor.
Signature *

Clear
Feel free to add any further information about your submission that may be helpful.

Business Details

Equipment Details

Ownership Details

Credit Authorization

Address: 2075 Millburn Ave, Maplewood, NJ 07040

Office:973-388-5755

Website: https://wefixdmd.com/

Contact

Charles "Frank" Schultz

Cell:973-518-1152

Email:frank@wefixdmd.com

This is a test submission

Online Application

This is a secure application, all data collected will be held in a GDPR compliant environment.

Business Information

Email Id Already Taken!!

Equipment Details

File Name:

Business Ownership Details

Credit Authorization

Address: 2075 Millburn Ave, Maplewood, NJ 07040

Office:973-388-5755

Website: https://wefixdmd.com/

Contact

Charles "Frank" Schultz

Cell:973-518-1152

Email:frank@wefixdmd.com