ENTERPRISE CAPITAL CORP
 262 Leonard NW Suite 2 Grand Rapids, MI 49504 Phone 616.774.9090 Fax 616.774.8740
Application for Financing

Business Name:
Business Address: City: State: Zip:
Contact: Phone: Fax:
Tax ID Number: Tax District:
Nature of Business: Year Started:
Business Type: Propiertorship Partnership Corporation

Principal(s):
Name: Address: S.S.#:
Name: Address: S.S.#:
Name: Address: S.S.#:
Bank: Contact: Phone:

Type of Account Account Number Current Balance
1.
2.
Loan/Lease References Type of Loan Current Balance
1.
2.
3.
Trade References Phone Contact
1.
2.
3.
Vendor:
Phone: Fax:
Equipment Quantity Description Cost
1.
2.
3.
4.

Down Payment $
Total Financing Request $
Terms: months
Approximate Delivery Date:
I authorize Enterprise Corp. and its assigns to investigate my personal and business credit, banking relationships and others for the purpose of obtaining credit.

By: Title: Dated:

FAX TO (616)774-8740