HILLCREST

Equipment Finance

No credit pull on this form

Equipment Financing

Credit Application

Takes about 5 minutes. Required fields are marked with an asterisk. We keep your information secure and use it only to evaluate your financing request.

No Credit Pull on This Form

Secure & Confidential

Veteran Owned

Family Business

Step 5 of 5Sign & Submit

Business InfoEquipmentOwnerFinancialsSign & Submit

Business Information

Legal entity details as they appear on your tax filings

Business Legal Name*

DBA (if different)

Business Type*

Years in Business*

Federal Tax ID (EIN)*

Business Phone*

Business Email*

Business Street Address*

City*

State*

ZIP*

Equipment Details

Tell us what you need financed

Equipment Description*

Estimated Purchase Price

Estimated Total Cost (with fees)

How Will You Use This Equipment?

Purchasing From (optional)

Owner / Guarantor Information

Primary owner with 20% or greater ownership

First Name*

Last Name*

Title

Ownership %*

Date of Birth*

SSN Last 4 Digits*

Last 4 only. Never stored in full.

Home Street Address*

City*

State*

ZIP*

Personal Phone*

Personal Email*

Financial Snapshot

Approximate figures are fine. This helps us find the right structure for you.

Annual Business Revenue

Comfortable Monthly Payment

Existing Equipment Debt (approx.)

Primary Bank Name

Certification & Authorization

I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation may result in denial of credit.*

I authorize Hillcrest Equipment Finance to obtain credit reports and verify the information provided in this application for the purpose of evaluating my financing request.*

By typing your name below, you are providing an electronic signature and agree to the certifications above.

Full Name (Electronic Signature)*

Date*

Submitting this application does not guarantee approval or commit you to any financing. A Hillcrest representative will contact you to discuss your options.