Secure Server - Your Personal Information Is SafeJCB Equipment Finance Application LOAN FOR: Product Type, Model Name, and Year*Financing Type*LoanLeaseEquipment Designation*NewUsedLoan or Lease Amount*Business InformationLegal Name of Business*DBA (if different than legal name))Business Entity* Corporation Sub S Partnership LLC Proprietorship Govt / MuniBusiness Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Billing Address (If Different Than Business Address) Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Equipment Location (If Different Than Business Address) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Federal Tax ID Number*Years in Business*Years Under Current Ownership*Business Phone*Cell Phone*Email* Fax NumberBusiness Type & Description*Previous Year Gross Annual Sales*Ownership InformationRequired 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code First Reference - Bank / Loan / LeaseRequired 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/LessorContactPhone NumberAccount NumberSecond Reference - Bank / Loan / LeaseRequired 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/LessorContactPhone NumberAccount NumberThird Reference - Bank / Loan / LeaseRequired 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/LessorContactPhone NumberAccount NumberSignature* I have read and agree to the termsCAPTCHA
