Bay View Funding

Submit via fax to 650-294-7249
or by mail to
Bay View Funding
2121 S. El Camino Real, B-100
San Mateo, CA 94403-1897
www.bayviewfunding.com

To prevent delays in processing, please complete application package in its entirety.

BUSINESS NAME

STATEMENT OF ACCURACY

The statements made in and documents attached to this application are true and accurate to the best of my/our knowledge and belief.

AUTHORIZATION TO OBTAIN INFORMATION

I/We authorize Bay View Funding (BVF) to obtain whatever information regarding employment, bank accounts, and/or outstanding credit (mortgage, auto, personal, home improvement, charge cards, credit unions, etc.) that BVF deems to necessary in connection with this application or in the course of review or collection of any credit extended in reliance on this application. I/We authorize and instruct any consumer credit agency, commercial credit reporting agency, business or person to compile and furnish to BVF any such information regarding us or our business(es) as may be requested by BVF and agree that such information, along with this application, shall remain BVF’s property whether or not the application is approved.

This authorization will be valid for a period of two years from the date below or as long as applicant has an outstanding balance with BVF. A photocopy of this authorization will be as valid as the original. You authorize Bay View to verify or check any of the information given, including credit references and employment and to obtain credit bureau reports as Bay View deems necessary.

NUMBER OF OWNERS OWNING 10% OR MORE OF STOCK OF COMPANY

PRINCIPAL

DATE

PRINCIPAL

DATE

PRINCIPAL

DATE

Credit Application

APPLICATION DATE

CREDIT LINE REQUIRED

1. GENERAL INFORMATION

BUSINESS NAME

DBA’S/OTHER BUSINESS NAMES

PRIMARY ADDRESS (HEADQUARTERS)

CITY

STATE

ZIP

DATE BUSINESS ESTABLISHED

TELEPHONE

FAX

PRINCIPAL CONTACT NAME

TITLE

OTHER LOCATIONS


BUSINESS FORM

STATE OF INCORPORATION

TYPE OF BUSINESS

NO. OF EMPLOYEES

FISCAL YEAR END

FEDERAL TAX ID

FRANCHISE TAX ID

INSURANCE BROKER/AGENT NAME

TELEPHONE

ACCOUNTANT NAME

TELEPHONE

ATTORNEY NAME

TELEPHONE

BUSINESS BANK NAME

TELEPHONE

BANK CONTACT

RECEIVABLES
NOW OPEN

APPROX. NUMBER OF ACCOUNTS

NO. OF INVOICES
PER MONTH

STANDARD CREDIT
TERMS

CURRENT LENDER

CURRENT CONTACT

2. OWNERS/OFFICERS/PARTNERS (list all owners/ officers/partners-President, Secretary, other)

NAME

TITLE

%EQUITY

HOME ADDRESS

CITY

STATE

ZIP

RENT OR OWN

E-MAIL ADDRESS

HOME TELEPHONE

CELL PHONE

SOCIAL SECURITY NUMBER

DATE OF BIRTH

NAME

TITLE

%EQUITY

HOME ADDRESS

CITY

STATE

ZIP

RENT OR OWN

E-MAIL ADDRESS

HOME TELEPHONE

CELL PHONE

SOCIAL SECURITY NUMBER

DATE OF BIRTH

NAME

TITLE

%EQUITY

HOME ADDRESS

CITY

STATE

ZIP

RENT OR OWN

E-MAIL ADDRESS

HOME TELEPHONE

CELL PHONE

SOCIAL SECURITY NUMBER

DATE OF BIRTH

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