Credit Application - Landmark Financial Corp

888-448-5788

Colorado Equipment Financing

Fill out the brief application form below and we will contact you when a credit decision has been made.

If you would like to speak with a sales representative immediately please use our click to call feature for a toll free call or gives us a call at 888-448-5788.

If you would like to send us an email please click here.

Please include all applicable information

Email:*

Sales Representative:

Business Information

Company Name:*

Doing Business As (DBA)

Address:

City:

State / Zip:

Company Phone:*

Contact Name:

Contact Email:

Contact Phone:

Contact Phone Ext:

Fax:

Business Structure

Date Company Formed

Federal Tax ID

Comments:

Finance Details

Amount:

Equipment Description

Is Equipment New or Used?

Vendor Company Name:

Principal(s) / Ownership

Title:

First Name:*

Last Name:*

Ownership %:

Social Security #:*

Street Number (Home)

Street Name (Home)

Street Type (Home)

City:

State / Zip:

Phone:

Bank References

Bank Name:

Phone:

Fax:

Account Type:

Account Number:

Company authorizes Landmark Financial Corp. ("LFC") or its designee to undertake a thorough credit investigation (including credit reporting agencies) for the purpose of financing equipment. Company hereby gives all their creditors permission to provide LFC the information LFC deems necessary and appropriate to complete its credit evaluation process

Download a PDF version of our Credit Application here.

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