Finance Application

Please complete the loan application below.

Applicant Name *

First

Last

Applicant Email *

Applicant Phone *

Second Applicant

Add Second Applicant

Business Entity

Legal Name *

EIN *

Business Entity *

State Organized *

Owner / Partner / Member Name *

First

Last

Owner / Partner / Member Phone *

% Owned *

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Financial Information

# Years in Business *

# of Employees *

Equipment

Equipment Description *

Purchase Price *

Loan Request Amount *

Financial Statement

Statement as of *

Choose Method For Providing Financial Statement

Upload Statement
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Business Net Income (Last Two Fiscal Years)

Note: Please provide net income

Year 1

Income Date *

Delivery Income *

Rental Income *

Other Income *

Year 2

Income Date *

Delivery Income *

Rental Income *

Other Income *

Non-Business Income (Based on Last Federal Tax Return)

Source (1)

Amount

Source (2)

Amount

Source (3)

Amount

Source (4)

Amount

For the purpose of procuring credit, I/We furnish the forgoing as true and accurate statement of my/our financial condition. Authorization is hereby given to The Peoples State Bank and to Cardinal Leasing LLC to verify in any manner it deems appropriate any and all items indicated above including obtaining reports concerning my/our credit history. I/We also certify that the equipment being financed is for a business purpose only.

Applicant Signature *

Clear Signature

Date *

Contact Info

Address: 1237 North Wessex Lane, Ina, IL 62846
Phone: 618-803-4086
Fax: 866-614-1164
Email: office@cardinalleasing.us

Financing

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Finance Application

Business Entity

Financial Information

Equipment

Financial Statement

Assets

Liabilities

Business Net Income (Last Two Fiscal Years)

Year 1

Year 2

Non-Business Income (Based on Last Federal Tax Return)

Contact Info

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