FLUSHING AUTOMOTIVE FINANCIAL SERVICES

166-02 65th Avenue, Flushing NY 11365

Phone: (718) 886-6326   Fax: (718) 886-6643
CORPORATE CREDIT APPLICATION

Date  

  • Please fill out the attached application and e-mail or fax back to our office along with your last three (3) months business banking statements (first page only).
  • For transactions that will exceed $150,000.00 please include your last two years of coporate tax returns and/or financials.
  • Any comparative borrowing experience (i.e., accounts with other lenders you have positive experiences)
    would be very helpful.
  • An account number along with a phone number and contact name
    should be forwarded.
  • If there is any questions please feel free to contact our office. 

The Choice is Yours…. The Pleasure is Ours!

Full Company Name

Address City State Zip

Year Organized County State Contact Person

Form of Organization:
Corporation Partnership Proprietorship

Your Name Title Federal Tax I.D. Number

If in business less than 2 years:
Previous Employer

Address City State Zip

Business Phone Yearly Salary Position How long

Personal Guarantor:
Name      Income

Address City State Zip

Social Security # Date of Birth Home Phone

Residence: Own Rent Other Monthly Payment

U.S. Citizen: Yes No

Mortgage With How long?

Employer Address

Business Phone Income Position How long

Additional Income Per Year Source

Spouse or Additional Guarantor:
Name      Income

Address City State Zip

Social Security # Date of Birth Home Phone

Residence: Own Rent Other Monthly Payment

U.S. Citizen: Yes No

Mortgage With How long?

Employer Address

Business Phone Income Position How long

Additional Income Per Year Source

Primary Bank:
Savings Personal Business Money Market Other
Credit References:

Vehicle Information:
 
 



FAIR CREDIT REPORTING ACT AUTHORIZATION
For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. Applicant authorizes FLUSHING AUTOMOTIVE FINANCIAL SERVICES and/or its assignees to check my credit and employment history and to provide and/or obtain information about credit experience with me.