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TPO APPLICATION
1
Business Info
2
Principal Info
3
Funding Source References
4
Business Model
5
Credit Release
Hidden
Email
Broker Business Name
(Required)
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Office Phone
(Required)
Business Website URL
Business Start Date
(Required)
Month
Day
Year
Business Entity Type
Corporation
Limited Liability Company
Partnership
Sole Proprietorship
How Many Principals Does Your Company Have?
(Required)
1
2
3
4 or More
CA Lender's License #
(Required)
Principal #1 - Name
(Required)
Principal #1 - Title
(Required)
Principal #1 - Ownership %
(Required)
Principal #1 - SSN
(Required)
Principal #1 - Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Principal #1 - Phone
(Required)
Principal #1 - Email Address
(Required)
Principal #2 - Name
(Required)
Principal #2 - Title
(Required)
Principal #2 - Ownership %
(Required)
Principal #2- SSN
(Required)
Principal #2 - Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Principal #2 - Phone
(Required)
Principal #2 - Email Address
(Required)
Principal #3 - Name
(Required)
Principal #3 - Title
(Required)
Principal #3 - Ownership %
(Required)
Principal #3 - SSN
(Required)
Principal #3 - Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Principal #3 - Phone
(Required)
Principal #3 - Email Address
(Required)
Please list all other owners.
(Required)
Prior to onboarding we may require additional information and credit release authorizations.
Funding Source Reference #1
(Required)
Funding Source Reference #1 - Broker Representative Name
(Required)
Funding Source #1 - Phone
(Required)
Funding Source #1 - Email Address
(Required)
Funding Source Reference #2
(Required)
Funding Source Reference #2 - Broker Representative Name
(Required)
Funding Source #2 - Phone
(Required)
Funding Source #2 - Email Address
(Required)
Funding Source Reference #3
(Required)
Funding Source Reference #3 - Broker Representative Name
(Required)
Funding Source #3 - Phone
(Required)
Funding Source #3 - Email Address
(Required)
Approximate Monthly Funded Volume From All Sources
(Required)
What Percentage (%) of Your Volume is A Credit?
(Required)
What Percentage (%) of Your Volume is B Credit?
(Required)
What Percentage (%) of Your Volume is C Credit?
(Required)
What Percentage (%) of Your Volume Includes Startups or Challenged Credit Transactions?
(Required)
What Major Industries Do You Service?
(Required)
Why Do You Want to Become an SLS Broker?
(Required)
Please Select All Sources of Business That Apply To You
(Required)
End-User/Direct Customer Originated
Online Originated Business
Re-Brokered Business
Vendor Originated
Consent
(Required)
I Agree
I (We) authorize Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, American Leasing & Financial, Opportunity Financial Services, LLC, SLS Cal, LLC, and/or its assigns and designees to investigate all credit information, including but not limited to consumer credit reports, bank and trade references and accountant information for purposes of processing this lease credit application. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. All principals hereto agree that an electronic copy of this application may be treated as and considered the same as an original. By choosing the Submit For Approval button below, you are giving your electronic signature in agreement with these terms. By providing your contact information, you agree to receive electronic communications from SLS. I (We) certify that the above information provided is true and correct.
ECOA NOTICE (TO BE RETAINED BY APPLICANT) Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of your request for the statement. NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.
By checking the "I Agree" box and typing my name as Digital Signature, I am indicating the above statements are true and accurate to the best of my knowledge. I hereby agree to the Credit Release Authorization and Verification Terms and Conditions, understanding it may be necessary to complete a review of my credit PRIOR TO receiving terms and payment options.
I hereby agree that this agreement may be electronically signed and that my digital signature appearing on this agreement is the same as a handwritten signature for purposes of validity, enforceability, and admissibility.
Type Your Full Legal Name
(Required)
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