Express - SLS Financial Services

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First and Last Name(Required)

Mobile Phone(Required)

Email Address(Required)

Do you have a business name?(Required)

Yes

No

How will you utilize this equipment?(Required)

Are You a Startup or an Existing Business?(Required)

Business Name(Required)

Business Address(Required)

Street Address City State ZIP Code

How Many Years Have You Operated Under This Business Name?(Required)

Please enter a number from 2 to 99.

Current Employer(Required)

Your place of employment/main source of income

Will You Continue Your Current Employment?(Required)

Who Runs/Will Run The Business While You're Working?(Required)

How many years have you worked in this industry?(Required)

Please enter a number from 0 to 99.

Please describe your background in this business?(Required)

Who else is involved in the business?(Required)

Does Your Business Have a Separate Tax ID #?(Required)

Enter Your Tax ID #(Required)

What is the total balance you have in cash, checking accounts, and saving accounts?(Required)

What is Your Ownership Percentage In the Company?(Required)

Please enter a number from 0 to 100.

How Many Additional Owners Are There, Excluding Yourself?(Required)

Please enter only the three additional owners with the greatest % of ownership.

Additional Owner #1 Name(Required)

Additional Owner #1 Email Address(Required)

Additional Owner #1 Phone Number(Required)

Additional Owner #1 - % of Ownership(Required)

Please enter a number from 0 to 100.

Additional Owner #2 Name(Required)

Additional Owner #2 Email Address(Required)

Additional Owner #2 Phone Number(Required)

Additional Owner #2 - % of Ownership(Required)

Please enter a number from 0 to 100.

Additional Owner #3 Name(Required)

Additional Owner #3 Email Address(Required)

Additional Owner #3 Phone Number(Required)

Additional Owner #3 - % of Ownership(Required)

Please enter a number from 0 to 100.

Have You Financed Equipment in Your Business Name Before?(Required)

Make & Model of Desired Equipment?(Required)

Desired Equipment Cost(Required)

Please enter a number from 1000.00 to 50000.00.

Is this an engine or a vehicle?(Required)

Is the vehicle it is going in owned free & clear(Required)

Please describe the vehicle the engine is going in.(Required)

List year, make, and model

Name of Equipment Vendor

Note: this program requires you to buy from a dealer, seller, e-commerce site, or brick and mortar store.

Vendor Phone #

Vendor URL or Website

Which rep at Bendpak are you working with?(Required)

Which location are you buying from?(Required)

→ Please complete the below Credit Release Authorization so we can perform a 'SOFT' credit check.

→ Upon clicking submit, applicant will receive a text and email with a link to complete the Credit Release Authorization so we can perform a 'SOFT' credit check.

Social Security #(Required)

Home Address(Required)

Street Address City State ZIP Code

Consent for Credit Release Authorization(Required)

I (We) authorize Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, American Leasing & Financial, LencoFinEq, LLC, Opportunity Financial Services, LLC, ExpressLink Capital, LLC, Expresslink Funding, LLC, and/or its assigns and designees to investigate all credit information, including but not limited to consumer credit reports, bank and trade references and accountant information for purposes of processing this lease credit application. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. All principals hereto agree that an electronic copy of this application may be treated as and considered the same as an original. By choosing the Submit For Approval button below, you are giving your electronic signature in agreement with these terms. By providing your contact information, you agree to receive electronic communications from SLS including on an Opt-In basis for SMS and MMS messages to any mobile phone number we have on file for you. I (We) certify that the above information provided is true and correct.

I/we agree that SLS, the broker, My Little Salesman, or their agents or assigns may disclose information about my/our financing application, stage, status, outcome, or other transaction details to the originating vendor, manufacturer, or seller of equipment to help facilitate the equipment sales process.

**Consent to Use of Artificial Intelligence and ChatGPT in Underwriting Evaluation and Processes**

By signing below, you acknowledge and agree that Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, American Leasing & Financial, LencoFinEq, LLC, Opportunity Financial Services, LLC, and/or its assigns and designees may utilize artificial intelligence (AI) technologies, including but not limited to ChatGPT, as part of the underwriting evaluation and other processes related to your application for credit. You consent to the use of AI in analyzing and processing your credit information, which may include data from consumer credit reports, bank and trade references, and other financial information. This usage is intended to enhance the accuracy and efficiency of our credit evaluation procedures. Your information will be handled in accordance with applicable data protection and privacy laws. If you have any questions or concerns regarding the use of AI in our processes, please contact us for more information.

ECOA NOTICE (TO BE RETAINED BY APPLICANT) Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of your request for the statement. NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

By checking the "I Agree" box and typing my name as Digital Signature, I am indicating the above statements are true and accurate to the best of my knowledge. I hereby agree to the Credit Release Authorization and Verification Terms and Conditions, understanding it may be necessary to complete a review of my credit PRIOR TO receiving terms and payment options.

I hereby agree that this agreement may be electronically signed and that my digital signature appearing on this agreement is the same as a handwritten signature for purposes of validity, enforceability, and admissibility.

I Agree.

Consent for Credit Release Authorization(Required)

I (We) authorize Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, Opportunity Financial Services, and/or its assigns and designees to investigate all credit information, including but not limited to consumer credit reports, bank and trade references and accountant information for purposes of processing this lease credit application. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. All principals hereto agree that an electronic copy of this application may be treated as and considered the same as an original. By choosing the Submit For Approval button below, you are giving your electronic signature in agreement with these terms. By providing your contact information, you agree to receive electronic communications from SLS. I (We) certify that the above information provided is true and correct.

I/we agree that the broker, My Little Salesman, or their agents or assigns may disclose information about my/our financing application, stage, status, outcome, or other transaction details to the originating vendor, manufacturer, or seller of equipment to help facilitate the equipment sales process.

ECOA NOTICE (TO BE RETAINED BY APPLICANT) Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of your request for the statement. NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

I consent to the use of electronic disclosures and signatures and they shall be considered the same as physical for all legal purposes.

Applicant Agrees by Phone

Consent for Credit Release Authorization(Required)

I (We) authorize Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, LencoFinEq, LLC, Opportunity Financial Services, and/or its assigns and designees to investigate all credit information, including but not limited to consumer credit reports, bank and trade references and accountant information for purposes of processing this lease credit application. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. All principals hereto agree that an electronic copy of this application may be treated as and considered the same as an original. By choosing the Submit For Approval button below, you are giving your electronic signature in agreement with these terms. By providing your contact information, you agree to receive electronic communications from SLS. I (We) certify that the above information provided is true and correct.

I/we agree that the broker, My Little Salesman, or their agents or assigns may disclose information about my/our financing application, stage, status, outcome, or other transaction details to the originating vendor, manufacturer, or seller of equipment to help facilitate the equipment sales process.

ECOA NOTICE (TO BE RETAINED BY APPLICANT) Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of your request for the statement. NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

I consent to the use of electronic disclosures and signatures and they shall be considered the same as physical for all legal purposes.

Credit Release On File

Recorded Verbal Credit Release Authorization(Required)

Max. file size: 128 MB.

Full Legal Name(Required)