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
APPLICATION DATE
CREDIT LINE REQUIRED
1. GENERAL INFORMATION
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
ACCOUNTANT NAME
ATTORNEY NAME
BUSINESS BANK NAME
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
%EQUITY
HOME ADDRESS
RENT OR OWN
E-MAIL ADDRESS
HOME TELEPHONE
CELL PHONE
SOCIAL SECURITY NUMBER
DATE OF BIRTH
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