Fillable Heavy Equipment Purchase Finance Credit Application

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Heavy Equipment Purchase Finance Credit Application

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Maxim Commercial Capital, LLC | 11620 Wilshire Boulevard, Suite 540 | Los Angeles, CA 90025
877-77-MAXIM | 877-776-2946 | www.maximcc.com
10.1.2018
Heavy Equipment Purchase Finance
Credit Application
Thank you for submitting your financing application to Maxim Commercial Capital, LLC.
For the fastest service, please include the following information:
Heavy Equipment Purchase Finance Credit Application
ATTACH:
Equipment Invoice(s) and Equipment Specifications
Last 3 Months of Complete Business Bank Statements
Mortgage Statements: if pledging mortgaged Real Estate as additional
collateral
Please email your application package to:
Javier Mendoza, CLFP
Senior Credit Analyst
Email: javier@maximcc.com
Phone: (415) 599-2655
HEAVY EQUIPMENT PURCHASE FINANCE CREDIT APPLICATION | Page 2 of 5
Maxim Commercial Capital, LLC | 11620 Wilshire Boulevard, Suite 540 | Los Angeles, CA 90025
877-77-MAXIM | 877-776-2946 | www.maximcc.com
10.1.2018
REQUEST FOR FINANCING
Price of Equipment:
$
Financing Amount Requested:
$
Down Payment Amount:
$
Heavy Equipment / Vehicle to be financed (Attach Vendor Invoice / Specs):
Contact Name:
Phone:
City, State, Zip:
BUSINESS INFORMATION
Legal Name of Business:
Is Business in Good Standing / Active? Yes No
Date Established:
Tax ID#
Business Type: Corp LLC Sole-Proprietor
All Officer(s) / Member(s) with Ownership > than 10% (Attach additional pages if necessary)
1 - Name:
Title:
Ownership %:
2 - Name:
Title:
Ownership %:
3 - Name:
Title:
Ownership %:
Address of Business Location:
City, State, Zip:
Mailing Address (if different):
City, State, Zip:
Main Phone:
Fax:
# of Employees:
Business Email:
Type of Business:
Are you the majority-owner of the company? (If NO, please answer question below) Yes No
What is your current position at the company?
Has your business been involved in any Repossessions and / or Tax Liens? (If Yes, Explain Below) Yes No
Reason for Repossessions and / or Tax Liens (w/ date):
GUARANTORS - PERSONAL INFORMATION - Each Member with Ownership > than 10% (Attach additional pages if necessary)
Guarantor
Co–Guarantor (Spouse)
Name:
Name:
SSN:
Birthdate:
SSN:
Birthdate:
Homeowner or Renting?
Homeowner or Renting?
Primary Home Address:
Primary Home Address:
City, State, Zip:
City, State, Zip:
Main Phone:
Main Phone:
Mobile Phone:
Mobile Phone:
Email:
Email:
Current Bankruptcy / Child Support?
Yes No
Current Bankruptcy / Child Support?
Yes No
HEAVY EQUIPMENT PURCHASE FINANCE CREDIT APPLICATION | Page 3 of 5
Maxim Commercial Capital, LLC | 11620 Wilshire Boulevard, Suite 540 | Los Angeles, CA 90025
877-77-MAXIM | 877-776-2946 | www.maximcc.com
10.1.2018
ADDITIONAL COLLATERAL – Equipment and/or Real Estate pledged to maximize funded amount (if NONE, go to next page)
FACILITIES LIST
Year
Make
Model
Serial # / VIN#
Mileage / Hours
Balance
Owed
Monthly
Payment
Lender
REAL ESTATE SCHEDULE
• List each parcel separately.
• Use attachment if necessary; identify attachments as part of this application and sign each one.
• Please provide most recent Mortgage Statements for all properties with active lien.
Property A
Property B
Property C
Type of Property (SFR, Office, Retail
Industrial, Multifamily, Infill Land)
Address
Date Purchased
Original Cost
Current Market Value
1
st
Lien Mortgage Balance
2
nd
Lien Mortgage Balance
3
rd
Lien Mortgage Balance
4
th
Lien Mortgage Balance
Is Mortgage Current or Delinquent?
Square Feet of Structure(s)
Square Feet of Lot
Annual Expenses
Annual Taxes
Annual CapEx
Annual Income
Additional Real Estate Information:
HEAVY EQUIPMENT PURCHASE FINANCE CREDIT APPLICATION | Page 4 of 5
Maxim Commercial Capital, LLC | 11620 Wilshire Boulevard, Suite 540 | Los Angeles, CA 90025
877-77-MAXIM | 877-776-2946 | www.maximcc.com
10.1.2018
PERSONAL FINANCIAL STATEMENT – Required for Financing > $75,000 (if Financing < $75,000, proceed to signature page)
Name:
Title:
Total Assets (Omit Cents)
Total Liabilities (Omit Cents)
Cash Accts.
(Checking, Savings, Brokerage)
$
Installment Accounts
(Auto)
$
Retirement Accts.
(IRA, Roth IRA, SEP IRA, 401k)
$
Installment Accounts
(Other)
$
Accounts Receivables &
Notes Receivables
$
Accounts / Notes Payable & Other
Liabilities (Describe in Section 2)
$
Life Insurance
Cash Surrender Value Only
$
Loans on Life Insurance
$
Real Estate Owned
(Describe in Real Estate Schedule)
$
Mortgages Against Real Estate
(Describe in Real Estate Schedule)
$
Other Personal Property & Assets
(Describe in Section 3)
$
Unpaid Taxes
(Describe in Section 4)
$
Total Asset Value
$
Total Liabilities
$
Section 1. Source of Annual Income
Contingent Liabilities
Salary
$
As Endorser or Co-Maker
$
Net Investment Income
$
Legal Claims & Judgments
$
Real Estate Income
$
Provision for Federal Income Tax
$
Other Income (Describe Below)
$
Other Special Debt
$
Description of “Other Income”
*Alimony and/or child support payments does not need to be disclosed in “Other Income” unless you want such payments counted toward Total Income.
Section 2. Accounts / Notes Payable to Banks & Other Liabilities (Use attachments if necessary. Each attachment must be identified as a part of this
statement and signed.) Please attach a separate Accounts Payable list if it doesn’t fit in this section.
Name and Address of Noteholder(s)
Original Balance
Current Balance
Payment Amount
Frequency
(monthly, daily, etc.)
Secured with collateral?
(if yes, explain)
Section 3. Other Personal Property & Assets (If any asset is pledged as security, include name and address of the lienholder, amount of the
lien & terms of payment.)
Section 4. Unpaid Taxes (Include type, to whom payable, when due, amount, and to what property, and if there are any tax liens against the
property. Please also provide any tax collector documentation or correspondence.)
HEAVY EQUIPMENT PURCHASE FINANCE CREDIT APPLICATION | Page 5 of 5
Maxim Commercial Capital, LLC | 11620 Wilshire Boulevard, Suite 540 | Los Angeles, CA 90025
877-77-MAXIM | 877-776-2946 | www.maximcc.com
10.1.2018
ECOA DISCLOSURE
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on 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 compliance with this law concerning this creditor is FTC
Regional Office for region in which the creditor operators or Federal Trade Commission, Consumer Response Center, Washington, DC 20580. If we take adverse action you have a right
to a statement of specific reasons for the adverse action if you request suck statement within 60 days from Maxim Commercial Capital, LLC at the address and telephone number given
on this application. The written statement shall be sent to you within 30 days. Adverse action may include refusal to grant credit in substantially the amount or terms requested,
termination or an unfavorable change in the terms of an account and refusal to increase the amount of credit available.
APPLICANT VERIFICATION
The undersigned acknowledges the statements on this application are true, correct and accurate to the best of my knowledge, and the information contained herein may be used by
Maxim Commercial Capital, LLC (Maxim) to make credit decisions. The undersigned authorizes Maxim and its affiliates to obtain any consumer and/or business information from banks,
credit unions, as well as other credit reporting services, and authorizes them to furnish such information to Maxim. The undersigned acknowledges that this signed application is an
application for credit only, and the final terms of the financing agreement will be based on the documents themselves. No commitment exists until the Applicant/Joint Applicant(s)
receives the same in writing from Maxim.
Guarantor Signature:
Date:
Co- Guarantor Signature:
Date:
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Heavy Equipment Purchase Finance Credit Application

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Completed 11 June 2021

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