SCF Funding, Inc

SCF Funding, Inc.

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3960 Philmont Drive, Marietta, GA 30066, Tel: 866-476-5321, Fax: 678-559-0336

http://www.scf-funding.com

Back to Online Application Form

***Simply Print Out Application, Complete & Fax back to 678-559-0336***

Date: ___________________________________________________________________________________

Business How Long

Name:________________________________________________________in Business:__________________

Address:______________________________________________________Phone:______________________

_____________________________________________________Fax:________________________

Type of Business:______________________________________________# Number of Employees _________

Approx Amount Requested: $___________________ Minimum: $________________ Maximum:$_________________

Type of Ownership: Proprietorship ( ) Partnership ( ) Corporation ( ) Fed. Tax ID #:_______________

State of Incorporation or Business Licence filed in: __________________

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1) Name of Principal Title: SSN# %OWNERSHIP Home Address:

_______________________________

____________________________________________________________________________________________

2) Name of Principal Title: SSN# %OWNERSHIP Home Address:

_______________________________

____________________________________________________________________________________________

3) Name of Principal Title: SSN# %OWNERSHIP Home Address:

_______________________________

__________________________________________________________________________________________________

1) Trade Reference: Phone: Contact Person: Account #

________________________________________________________________________________________________

2) Trade Reference: Phone: Contact Person: Account #:

________________________________________________________________________________________________

3) Trade Reference: Phone: Contact Person: Account #:

________________________________________________

1) Bank Reference: Date Opened: Phone: Contact Person: Business Account #:

_________________________________________________________________________________________________

Equipment Listing:

Description: Manufacturer: Model #: Cost:

*******Model #S ARE PREFFERED

Example:

Desktop Computer

P4, 2.5 GHz, 60 Gig HD HP Pavilion 6330 $ 1,500

_________________________________________________________________________________$_____________

Total $ ________

Information Release Form

To Whom It May Concern:

Please consider this letter as both a request and authorization for you to furnish a complete history of all accounts, loans, or any financial transactions relative to both commercial and personal credit records available.

Please afford this request your most favorable attention. I thank you in advance for your cooperation.

_______________ ___________________ _______

Name Signature Date

Information Release Form

(2^nd Owner)

To Whom It May Concern:

Please afford this request your most favorable attention. I thank you in advance for your cooperation.

_________________ ___________________ _______

Name Signature Date