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If you prefer to download this application and fax it to 781-321-4108, click here (requires Adobe® Reader).
All yellow fields are required.



Legal Business Name
Required

Address
Required

City
Required
State
Required
Zip Code
Required

Phone Number
Required
Fax Number
E-mail Address
Financing Representative (if known)

Business Information
Business Type
Business Structure
Month/Year Established (mm)
Required
(yyyy)
Required
Contact Name
Required
Federal Tax ID#
Equipment Information
Description of Equipment
Estimated Cost of Equipment
Vendor Name
Owner #1 Information
Name
Ownership % % Social Security #
Address
City State
Zip Code
Owner #2 Information
Name
Ownership % % Social Security #
Address
City State
Zip Code
Bank Information
Business Bank Name
Account Number
Phone
Contact Person

Delivery of this application bearing a facsimile signature(s) shall have the same force and effect as if the application bore an inked original signature(s). The applicant certifies that all information provided is true, correct and complete and that the account will be used solely for business or commercial purposes. The applicant, owner(s) and guarantor (if any) authorize Priority Financing or its designee(s) or assignee(s) to obtain any information it may request from any business or consumer reporting agency(ies) or other sources that provide credit reports, account history information, credit and employment history or similar information; such authorization shall extend to update renewal of credit and for reviewing or collecting the account. The applicant acknowledges that, based upon such information and other factors which may apply, Priority Financing or its assignee(s) or designee(s), in their sole discretion, may either grant or decline to grant credit.

By submitting this application, I also wish to continue to receive updates from Priority Financing, Inc. regarding our account. Information should be sent to the fax and/or email address given for the account.

Secure Application


24 Hour Approval   Turnaround


No Financials   needed up to 150K



Customer Testimonials

August 10, 2006

Biztex, Inc.

Priority was able to get financing for a cusotmer that was turned down by man other companies...
November 16, 2007

Sand-Tech Inc

In today's market, finding a leasing company with such...
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