EQUIPMENT FINANCE APPLICATION APPLICANT DETAILS Legal Name of Business and DBA: Address: Street, City, State, Zip Tax ID: Business Phone: Fax: (optional) Date Est: Owner 1 Name: Position: Ownership %: Owner 1 FICO: (optional) Credit Score, if known Cell Phone: Email: Address: Street, City, State, Zip SSN #: Birth Date: TRANSACTION SUMMARY Finance Amount: Equipment Purchase Working Capital Other Please describe the use of funds and how this financing will result in added benefit to your business.For working capital requests, please be as detailed as possible. Please list any available collateral (Please also provide further details in a Facilities List, Personal Financial Statement, or Real Estate Schedule). Contact EQUIPMENT/VEHICLE VENDOR INFO: Equipment/Vehicle to be financed: Price: Vendor/Seller: Contact: Phone: Address: Street, City, State, Zip Website Link: Vendor Invoice Add file or drop file here. Hold tight! It's uploading... Invoice or quote from the vendor. If applicable, invoice should include VIN and photos. File type not allowed.File exceeds maximum size allowed.File already uploaded.Invalid file.Bad request. Delete Delete Delete Delete Delete 5 of 5 file limit remaining I certify that all information contained in this Application and all financial information provided is true, correct and complete as of the date it is being submitted to Sierra Commercial Capital or its designee.