Water Filtration Financing Application PDF Print E-mail

Instructions

 

  1. DO NOT leave any spaces blank where needed information is to be written.  At a minimum, all yellow fields must be filled out, as well as term, end of lease option (buy or return), equipment description (type) and total amount of requested amount.  Complete all other fields as applicable.
  2. The complete legal name of the applicant must be the name which appears on the application.
  3. Signatures must be present by typing your full name and email address in the corresponding boxes.  All dates must be present.
  4. All applications must accompany a full credit report with credit scores.  Please click on http://www.truecredit.com/user/returnUser.jsp?fc_se=headerTab and submit entire report and score with application in PDF form.
  • If you cannot save your report in PDF form using the link above and need to print it and submit by fax, you cannot complete this form online.  Instead, please enter your email address in this field, click "send," and you will receive a document that can be completed electronically, printed, and submitted with your credit report by fax.  Both the report and the application form must be submitted at the same time.
    Email Address:

When you are finished filling out the entire application, click the "submit" button.

Thank you.
BFS

Consumer Credit Application

 

NOTE:
YELLOW fields are required. Fill out all fields as applicable for proper processing.		 Application Date:

 Upload Credit Report (PDF):
First and Last Name:

Home Number:

 Cell Number:
Home Address:

 City:

 State / Zip:

 Date of Birth:
Social Security Number:

 Email Address:

 Sponsor Name:

 Sponsor Phone Number:
Bankruptcy, Foreclosure, Tax Lien, Loan Modification? When?

 Rent / Own:

Rent Own		 Current Residence:

years months		 Rent / Mortgage Amount:
FICO Score: 723 or above 686 to 722 648 to 685 611 to 647 580 to 610


BUSINESS BANK ACCOUNT(S)

1. Bank Name:

 Account Number:

 Account Type:

 Phone Number:

 Contact Name:
2. Bank Name:

 Account Number:

 Account Type:

 Phone Number:

 Contact Name:


EMPLOYMENT REFERENCE(S)

1. Employer:

 City, State:

 Phone Number:

 Contact Name:
2. Employer:

 City, State:

 Phone Number:

 Contact Name:


CO-SIGNER INFORMATION

1. Principal / Guarantor (Full Legal Name):

 Social Security Number:

 Birth Date:

 Relation:

 Cell Phone:
1. Home Address:

 City:

 State, Zip:

 Home Phone Number:


VENDOR / EQUIPMENT INFORMATION

Vendor Name:

Bohman Enterprises		 Telephone Number:

(949) 463-7563		 Sales Representative:

Tony Wilde
Vendor Address:

25092 Farthing Street		 City, State, Zip:

Lake Forrest, CA 92630
Equipment Description:

NEW USED
Term:

months		 End of Lease Option:

Purchase		 Equipment Price:

$ 		Down Payment:

$ 		S & H:

$ 		Tax Rate:

%		 Tax Amount:

$ 		Total:

$
APPLICANT / CO-SIGNER CREDIT RELEASE AUTHORIZATION: By entering your name and email address below, the undersigned individual(s) provide(s) written instruction to Lessor or its designee (and any assignee or potential assignee thereof) authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purpose of update, renewal or extension of such credit or additional credit and for reviewing or collection of the resulting account. Submitting a copy of this authorization by hitting the "submit" button below shall be valid as an original signature. By signature below, I/we affirm my/our identity as the respective individual(s) identified in the above application.

Name:

Email:
Name:

Email:

1. Principal / Guarantor Signature

Date:
2. Principal / Guarantor Signature

Date: