Commercial equipment and vehicle finance kathy schobitz

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Title: C000248_A_MAY_2016_CEVF_Application_r9.indd
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Commercial Equipment and Vehicle Finance
Kathy Schobitz
Phone: 631-531-0611
Fax: 888-853-0484
Emal: kschobit@santander.us 3 HUNTINGTON QUADRANGLE, SUITE 101N
Web: cevf MELVILLE, NY 11747-4616
COMMERCIAL EQUIPMENT & VEHICLE FINANCE CREDIT APPLICATION
Business Applicant Information
Business Name:________________________________________________________________________________________________________________________________
Address:__________________________________________________________________ City:___________________________________ State:________ Zip:____________
Business Phone #:___________________________________ Mobile Phone #:___________________________________ Fax #:___________________________________
Email:__________________________________________________________ Federal I.D.#_______________________________ State of Incorporation/Organization:_________
Equipment Address:____________________________________________________________________________________________________________________________
Billing Address:____________________________________________________________ City: ___________________________________ State: _______ Zip:___________
Business structure: Corporation LLC Partnership Sole Proprietor Other_____________________________________ In business since:_________________
Has the Business (or you, if a sole proprietor) ever declared bankruptcy? Yes No If yes, when? (date)_______________
Equipment/Financing Description
Amount Requested: $_______________________ Term Requested (# of months):________ Fleet Size:__________ Replacement:___________ Addition:_____________
Equipment Description:_______________________________________________________________________________ Quantity:_________________________________
Vendor Contact:____________________________________________________________________________ Telephone Number:_________________________________
Bank Reference (Installment Debt/Leases)
Name of Bank:____________________________________________ Accounts Open Since:_______________ Bank Officer:______________________________________
Telephone Number:__________________________ Checking Account Number:__________________________ Loan Number:____________________________________
Finance References
Firm Name: Account Open Since: Firm Name: Account Open Since:
___________________________________________ _______________________ _____________________________________________________ ____________________
Applicant Principal(s)/Guarantor(s) Information Please provide the following information regarding the principals/owners/guarantors of the Applicant (attach additional sheets if necessary).
Principal 1 Name:___________________________________________________________________ Title:________________________ Percent Owned:_________________
Address:___________________________________________________________________ City:__________________________________ State:_______ Zip:____________
Phone #:_________________________________________________________ Date of Birth:_____________________ Social Security #:_____________________________
Own or Rent Time at residence:____________ Monthly mortgage/rent:________________ Citizenship: USA Other________________________________
Is Principal 1 going to be a Guarantor? Yes No If yes, has Principal 1 ever declared bankruptcy? Yes No If yes, when? (date)________________________
If you intend to apply for joint credit (including as a Guarantor), please initial here and sign below as a Guarantor. X__________________________________
Principal 2 Name:___________________________________________________________________ Title:________________________ Percent Owned:_________________
Address:__________________________________________________________________ City:____________________________________ State:_______ Zip:____________
Phone #:_________________________________________________________ Date of Birth:_____________________ Social Security #:_____________________________
Own or Rent Time at residence:____________ Monthly mortgage/rent:________________ Citizenship: USA Other________________________________
Is Principal 2 going to be a Guarantor? Yes No If yes, has Principal 2 ever declared bankruptcy? Yes No If yes, when? (date)________________________
If you intend to apply for joint credit (including as a Guarantor), please initial here and sign below as a Guarantor. X__________________________________
The undersigned principal(s) certify that he/she has full authority to act on behalf of the applicant. The applicant principals and guarantors each certify that all of the information contained in this application and on each document
required to be submitted in connection herewith are true and complete. The applicant and each guarantor hereby authorize Santander Bank, N.A. ("Santander Bank") to obtain his/her credit report from the national credit bureau(s) for
the purpose of considering this credit application and any subsequent update, renewal, collection, or additional credit. A copy or facsimile of this authorization shall be as valid as the original. Further, the applicant and guarantors hereby
authorize each bank and finance reference listed in this credit application to release information about the applicants and guarantors to Santander Bank, as requested by Santander Bank. If your application for business credit is denied
you have the right to a written statement of the specific reasons for the denial by writing to Santander Bank, Commercial Equipment and Vehicle Finance Division at 3 Huntington Quadrangle, Suite 101N, Melville, NY 11747-4616, Mail
Code: NY1-MLV-01-01, or call 1-800-238-4009, within sixty (60) days from the date you are notified of our decision. Santander Bank will send you a written statement of the reasons for the denial within thirty (30) days of receiving your
request for the statement.
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); or 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 the Office of the Bureau of Consumer Financial Protection, 1700 G Street, NW, Washington, DC 20006.
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. This means
that when you open an account, Santander Bank will ask you for your name, address, date of birth, and other information that will allow us to identify you. Santander Bank may also ask to see a government issued ID such as a driver's
license, non-driver's ID, passport, or other identifying documents.
If you intend to act as a Guarantor for the credit of one or more primary applicant(s) and are providing information to Santander Bank for that purpose, please be advised that if Santander Bank determines that you do not meet its
standards of creditworthiness for the amount and/or kind of credit desired by the primary applicant, Santander Bank is required by law to provide the specific reasons for such adverse action to the primary applicant and NOT to you. Unless
you are willing to share the specific reasons for adverse action based upon your credit history with the primary applicant you should not sign this application or submit a Personal Financial Statement to Santander Bank.
Application by:____________________________________________________Title:______________________________________ Date:________________________________
Application by:____________________________________________________Title:______________________________________ Date:________________________________
Guarantor Signature X___________________________________________ Print Name:________________________________ Date:________________________________
Guarantor Signature X___________________________________________ Print Name:________________________________ Date:________________________________
Santander Bank, N.A. is a Member FDIC and a wholly owned subsidiary of Banco Santander, S.A. ?2016 Santander Bank, N.A. All rights reserved. Santander, Santander Bank and the
Flame Logo are trademarks of Banco Santander, S.A. C0248_A07/16

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