Application

Please complete all fields marked with an asterisk (*)

Equipment Details

   
Type Of Equipment *
Equipment Cost *
Vendor
   

Company Details

   
Your Company Name *
Primary Contact Name *
Title
Address *
City *
State *
Zip *
Phone *
Fax
E-mail *
Years in Business *
Name of your Taycor Account Rep
   

Personal Information on Officers, Partners or Guarantors

Please note: We will need the personal information for any individual owning 20% or more of your company.
 
Name *
Address *
City *
State *
Zip *
Phone *
E-mail *
SSN *
% of Ownership *
   
  (if more than one owner, click here)

Bank Reference

   
Name of Bank
Telephone
Account #
Contact Officer
   

Lease / Loan Reference

   
Company Name
Telephone
Account #
Contact Name
Type in the 4 digit Verification Code that appear in the image below. *
(type in all lower case, no caps)
 
 
   
 

Declaration

Taycor Financial is authorized to investigate directly or through an agent our credit and financial condition. We understand that such investigations may include seeking information as to the background, credit and financial responsibility of our officers and principals or any of them. We understand and consent that our credit information may be transmitted via the Internet, that such information may be accessible by unintended 3rd parties, that it is being submitted at our own risk, and that we waive any right to any punitive damages arising out of or associated with the transmission, interception, use or misuse of the application. We may request the status of this application to be transmitted by electronic mail and we expressly authorize Taycor Financial or its nominee to transmit such message to the electronic mail address, which we may provide. The person signing this application is 18 years of age or older.
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Taycor Financial – Experienced Equipment Leasing Professionals specializing in Heavy Equipment Financing
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