Applying For

Lease/Finance
Working Capital
Both

Step 1: Company Information
Step 2: Customer Information
Step 3: Equipment Information

Step 1: Company Information
- New Company
- Existing Company

Legal Company Name *
Operating Name (DBA) *
Business Type *
Years In Business * *
Nature of Business *
Physical Address *
City *
State *
ZIP Code * *
Business Phone * * Ext.
Business Fax *
Email Address * *
Website *
Average Annual Revenue * *
Average Bank Balance * *
Federal Tax ID *
Number of Trucks Owned * *
Number of Trailers Owned * *
Trade Reference 1 *
Trade Reference 2 *
Trade Reference 3 *

Step 2: Customer Information
Principal 1
- - New Contact
  - Existing Contact
- First Name *
- Last Name *
- Job Title *
- Percent of Ownership * * *
- Same as Business Addr.?
  - Yes
  - No
- Home Address *
- City *
- State *
- ZIP Code * *
- Mobile Phone * *
- Email Address * *
- Social Security Number * *
- Date of Birth * *
- Home Ownership *
  - Own
  - Rent
- Value of Home * *
- Mortgage Balance * *
- Ever Declared Bankruptcy? *
  - No
  - Yes
- Outstanding Judgements or Legal Proceedings? *
  - No
  - Yes
Principal 2
- - New Contact
  - Existing Contact
- First Name *
- Last Name *
- Job Title *
- Percent of Ownership * * *
- Same as Business Addr.?
  - Yes
  - No
- Home Address *
- City *
- State *
- ZIP Code * *
- Mobile Phone * *
- Email Address * *
- Social Security Number * *
- Date of Birth * *
- Home Ownership *
  - Own
  - Rent
- Value of Home * *
- Mortgage Balance * *
- Ever Declared Bankruptcy? *
  - No
  - Yes
- Outstanding Judgements or Legal Proceedings? *
  - No
  - Yes
Principal 3
- - New Contact
  - Existing Contact
- First Name *
- Last Name *
- Job Title *
- Percent of Ownership * * *
- Same as Business Addr.?
  - Yes
  - No
- Home Address *
- City *
- State *
- ZIP Code * *
- Mobile Phone * *
- Email Address * *
- Social Security Number * *
- Date of Birth * *
- Home Ownership *
  - Own
  - Rent
- Value of Home * *
- Mortgage Balance * *
- Ever Declared Bankruptcy? *
  - No
  - Yes
- Outstanding Judgements or Legal Proceedings? *
  - No
  - Yes
Principal 4
- - New Contact
  - Existing Contact
- First Name *
- Last Name *
- Job Title *
- Percent of Ownership * * *
- Same as Business Addr.?
  - Yes
  - No
- Home Address *
- City *
- State *
- ZIP Code * *
- Mobile Phone * *
- Email Address * *
- Social Security Number * *
- Date of Birth * *
- Home Ownership *
  - Own
  - Rent
- Value of Home * *
- Mortgage Balance * *
- Ever Declared Bankruptcy? *
  - No
  - Yes
- Outstanding Judgements or Legal Proceedings? *
  - No
  - Yes
Principal 5
- - New Contact
  - Existing Contact
- First Name *
- Last Name *
- Job Title *
- Percent of Ownership * * *
- Same as Business Addr.?
  - Yes
  - No
- Home Address *
- City *
- State *
- ZIP Code * *
- Mobile Phone * *
- Email Address * *
- Social Security Number * *
- Date of Birth * *
- Home Ownership *
  - Own
  - Rent
- Value of Home * *
- Mortgage Balance * *
- Ever Declared Bankruptcy? *
  - No
  - Yes
- Outstanding Judgements or Legal Proceedings? *
  - No
  - Yes
Principal 6
- - New Contact
  - Existing Contact
- First Name *
- Last Name *
- Job Title *
- Percent of Ownership * * *
- Same as Business Addr.?
  - Yes
  - No
- Home Address *
- City *
- State *
- ZIP Code * *
- Mobile Phone * *
- Email Address * *
- Social Security Number * *
- Date of Birth * *
- Home Ownership *
  - Own
  - Rent
- Value of Home * *
- Mortgage Balance * *
- Ever Declared Bankruptcy? *
  - No
  - Yes
- Outstanding Judgements or Legal Proceedings? *
  - No
  - Yes

Step 3: Equipment Information
Equipment Description *
Vendor Company Name *
Vendor Contact Name *
Vendor Contact Number * *
Estimated Equipment Cost * *
Equipment Status *
- New
- Used
Equipment Titled *
- Yes
- No
Equipment Year * *
Working Capital Amount * *
Budgeted Monthly Payment * *
Time Frame *
Initial Payment Available * *
Comments *
Please note that you will be able to upload any attachments you wish to include after the initial submission.
Please download, sign and attach the credit authorization consent form. See download form below the SUBMIT button.
By checking this box, I agree with the Terms of Use and Privacy Policy. *
The signer(s) certifies that he/she is authorized to execute the application for the business named above, and that the information in this application and any other documents submitted in connection with the application are true, correct and complete. The signer(s) authorizes Apple Capital Group, Inc., and / or it’s affiliates, successors and assigns, to verify the information and to obtain personal, consumer, and/or business credit reports. The signer(s) further agrees to permit the use of mail, phone or specifically “facsimile transmissions” to make application or request additional information as desired. Applicant authorizes Apple Capital Group, Inc., to file a UCC financing statement to speed the funding process. Applicant shall notify Apple Capital Group, Inc., promptly of any material change in the information provided in this application. *

Processing...

Thank you for submitting your application. We look forward to working with you. Please expect a sales executive to contact you shortly.
Lease Reference Number:
Working Capital Reference Number:
Attachments
*
- - Attachment 1 * *
  - Attachment 1 Type
- - Attachment 2 * *
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- - Attachment 3 * *
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- - Attachment 4 * *
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- - Attachment 5 * *
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- - Attachment 7 * *
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- - Attachment 8 * *
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- - Attachment 9 * *
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- - Attachment 10 * *
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- - Attachment 11 * *
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- - Attachment 12 * *
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- - Attachment 13 * *
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- - Attachment 14 * *
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- - Attachment 15 * *
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- - Attachment 16 * *
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- - Attachment 17 * *
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- - Attachment 18 * *
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- - Attachment 19 * *
  - Attachment 19 Type
- - Attachment 20 * *
  - Attachment 20 Type

For questions about financing, contact: Timothy Jacquet Phone: 214-224-0995 Email: tjacquet@applecapitalgroup.com

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July 26, 2024