GT Universal - Commercial Finance Company Profile Webform

Commercial Finance Request Form
Company (legal) name *

Tax ID *

Business address *

E-mail address *

Business contact number *

Alternate contact number

Fax number

Web site

How long in business? *

Short description of business and operations *

Any current loans? (Y/N) *

If yes, list lender's contact name and number along with the loan balance

Do you have any outstanding liens or judgments? *

If yes, please describe

Are your 941 payroll taxes current? *

What type of financing does your business require (factoring accounts receivable, inventory finance, import-export trade finance, equipment leasing, etc)? *

How much financing does your business require? (amount needed) *

Your company's average monthly sales *

Number of active customers *

Average monthly amount of inventory your company carries

What is the average number of invoices you bill each month?

Average size of invoice

Contact name (business owner) *

Owner's conact number *

Business owner's S.S. number

Owner's address *

Best time to call *

Additional comments and requests


* Required fields