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Commercial Application

Business Information

Company Name(Required)

DBA

Fed Tax ID

Business Start Date

Company Type

File Bankruptcy

Annual Revenue

How did you hear about us

ADDRESS

Street(Required)

City(Required)

State/Province(Required)

Postal Code(Required)

Country(Required)

Primary Contact

Title

First Name(Required)

Last Name(Required)

Phone(Required)

Email(Required)

Guarantor Check Box

Guarantor?

GUARANTOR DETAILS

Social Security Number(Required)

Date

ADDRESS

Street(Required)

City(Required)

State/Province(Required)

Postal Code(Required)

Country(Required)

Files

Attach Files

Max. file size: 32 MB.

Please upload any Lead related documents. A maximum file size of 2GB is allowed. Accepted document types: .pdf, .png, .jpg, .jpeg.

Credit Authorization

I authorize

CERTIFICATION, CREDIT RELEASE AUTHORIZATION, UCC FINANCING STATEMENT APPROVAL, AND CREDIT HISTORY I hereby certify that the information contained in this credit application is true and accurate and I hereby authorize SLC1, LLC, its affiliates, agents, partners, and lenders to obtain consumer credit reports relating to individual credit history and/or creditworthiness and any other information regarding Commercial Applicant and its owners and principals from third parties to verify any information provided on the Application. I hereby authorize the filing and recording of UCC financing statements showing Lender’s interest in all the business assets and grant SLC1, LLC the right to execute them in our company name or by representative. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. I/we affirm my/our identity as the respective individual(s) identified in this application.

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Additional Guarantors Check Box

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