- Blue Tree Funding

Step 1 of 3

Business Information

Complete Legal Company Name

DBA Name (If Applicable)

Billing Address

Street Address Address Line 2 City State ZIP Code

Physical Address

Street Address Address Line 2 City State ZIP Code

Equipment Location (If Different Than Physical Address Of Business)

Street Address Address Line 2 City State ZIP Code

County

Business Phone #

Business Fax #

Contact Name

Contact Cell #

Nature Of Business

Business Structure

State Business Is Formed In

Federal ID #

State/UBI #

Business Start Date

Current Ownership (In Years)

Email Address

Website Address

Gross Annual Sales

Average Monthly Deposits

Any Judgements / Liens

Bankruptcy In The Last 10 Years?

Officers/Owners/Partners/Members Guarantor Information

Owner One

Owner #1 Name

Owner #1 Title

Owner #1 Ownership %

Owner #1 SSN

Owner #1 Date of Birth

Owner #1 Direct Phone

Owner #1 Email

Owner #1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner #1 Signature

Owner Two

Owner #2 Name

Owner #2 Title

Owner #2 Ownership %

Owner #2 SSN

Owner #2 Date of Birth

Owner #2 Direct Phone

Owner #2 Email

Owner #2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner #2 Signature

Owner Three

Owner #3 Name

Owner #3 Title

Owner #3 Ownership %

Owner #3 SSN

Owner #3 Date of Birth

Owner #3 Direct Phone

Owner #3 Email

Owner #3 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner #3 Signature

Owner Four

Owner #4 Name

Owner #4 Title

Owner #4 Ownership %

Owner #4 SSN

Owner #4 Date of Birth

Owner #4 Direct Phone

Owner #4 Email

Owner #4 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner #4 Signature

Business Information

Officers/Owners/Partners/Members Guarantor Information

Owner One

Owner Two

Owner Three

Owner Four

Equipment To Be Leased And Vendor/Supplier Information

Contact

Resources