JCB Finance Application Form • Rons Equipment Company

LOAN FOR: Product Type, Model Name, and Year*

Financing Type*

Loan
Lease

Equipment Designation*

New
Used

Loan or Lease Amount*

Business Information

Legal Name of Business*

DBA (if different than legal name))

Business Entity*

Business Address*

Street Address City State ZIP Code

Billing Address (If Different Than Business Address)

Street Address City State ZIP Code

Equipment Location (If Different Than Business Address)

Street Address Address Line 2 City State ZIP Code

Federal Tax ID Number*

Years in Business*

Years Under Current Ownership*

Business Phone*

Cell Phone*

Email*

Fax Number

Business Type & Description*

Previous Year Gross Annual Sales*

Ownership Information

Required for each owner with an equity interest of 25% or more and each guarantor with the ability to manage or control the entity.

PLEASE NOTE:
JCB Finance requires ownership information for all co-owners and partners with an equity interest of 25% or more. If there is more than one, then each partner will need to fill out this form which will be emailed to Ron's Equipment in Fort Collins, CO. The separate applications will then be combined for submission to JCB Finance.

Owner/Partner/Member/Guarantor*

Title*

Social Security Number*

% Owned*

Date of Birth*

Home Phone*

Home Address*

Street Address City State ZIP Code

First Reference - Bank / Loan / Lease

Required for each owner with an equity interest of 25% or more and each guarantor with the ability to manage or control the entity. Second and third references are below - use as needed.

Bank/Lender/Lessor

Contact

Phone Number

Account Number

Second Reference - Bank / Loan / Lease

Required for each owner with an equity interest of 25% or more and each guarantor with the ability to manage or control the entity.

Bank/Lender/Lessor

Contact

Phone Number

Account Number

Third Reference - Bank / Loan / Lease

Required for each owner with an equity interest of 25% or more and each guarantor with the ability to manage or control the entity.

Bank/Lender/Lessor

Contact

Phone Number

Account Number

Signature

*

I have read and agree to the terms

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JCB Equipment Finance Application

Business Information

Ownership Information

First Reference - Bank / Loan / Lease

Second Reference - Bank / Loan / Lease

Third Reference - Bank / Loan / Lease