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IMT Commercial Credit Application

Borrower Information

Business Ownership

Please provide the following for any owner that owns more than 10% of the company.

Number of Owners

Owner 1

Have you ever filed personal bankruptcy?
Do you have open liens or judgements?

Owner 2

Have you ever filed personal bankruptcy?
Do you have open liens or judgements?

Owner 3

Have you ever filed personal bankruptcy?
Do you have open liens or judgements?

Equipment to be Financed

Vendor Information

Who is selling the equipment or vehicle?

Credit Authorization

By checking the box below, the undersigned individual, who is either principal of the credit applicant, or a personal guarantor of its obligations, provides written instruction to IMT Commercial Credit, LLC (and any designee, assignee or potential assignee) authorizing review of their personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile from a national credit bureau and authorizes all requested bank and trade information to be released via telephone, fax, or email. Such authorization shall extend to updating, renewing or extending such credit and for reviewing or collecting the resulting account. A photo/fax copy of this authorization shall be valid as the original. By entering your name below, you affirm your identity as the respective individual identified in the above application.

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