Piranha Machine Financing

Fast Financing –

to make your acquisition easier.

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1Company

2Ownership

Business Name*
Amount Requested
Type of Business*
Federal Tax ID*
Tax ID / Owner SSN*
Years in Business
Business Address
Street Address Address Line 2 City State ZIP Code
Business Phone*
Business Email*
Website

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Owner Name*
First Last
Home Address*
Street Address City State ZIP Code
Owner Email*
Owner Cell Phone*
% Ownership*
Please enter a number from 5 to 100.
Social Security #*
Consent*
I agree
The undersigned consents to and authorizes the use of his/her consumer credit report by Piranha/Mega Manufacturing, Inc or a third party from time to time as may be needed in the credit and collection process and further authorizes banks, trade references and financial institutions the right to release information to us. To share credit information with affiliates and agents, as well as Applicant's other creditors, bureaus and persons who have or expect to have financial dealings with the Applicant of its principals named above to share collection information with Applicant other creditors. All the information in this Application is true, complete and correct. The person signing below on behalf of applicant is authorized to make this Application on its behalf and to agree to the forgoing, and also has the authority to act for Applicant's principals and co-owners in instructing Piranha/Mega Manufacturing, Inc and its agents to obtain credit reports on
them.
Signature
Additional Ownership
- Add Additional Owner?
Owner Name (Owner 2)*
First Last
Home Address (Owner 2)*
Street Address City State ZIP Code
Email (Owner 2)*
Cell Phone (Owner 2)*
% Ownership (Owner 2)*
Please enter a number from 1 to 100.
Social Security # (Owner 2)*
Consent (Owner 2)*
I agree
The undersigned consents to and authorizes the use of his/her consumer credit report by Piranha/Mega Manufacturing, Inc or a third party from time to time as may be needed in the credit and collection process and further authorizes banks, trade references and financial institutions the right to release information to us. To share credit information with affiliates and agents, as well as Applicant's other creditors, bureaus and persons who have or expect to have financial dealings with the Applicant of its principals named above to share collection information with Applicant other creditors. All the information in this Application is true, complete and correct. The person signing below on behalf of applicant is authorized to make this Application on its behalf and to agree to the forgoing, and also has the authority to act for Applicant's principals and co-owners in instructing Piranha/Mega Manufacturing, Inc and its agents to obtain credit reports on
them.
Signature (Owner 2)*
Additional Ownership
- Add Additional Owner?
Additional Ownership
Owner Name (Owner 3)*
First Last
Home Address (Owner 3)*
Street Address City State ZIP Code
Email (Owner 3)*
Cell Phone (Owner 3)*
% Ownership (Owner 3)*
Please enter a number from 5 to 100.
Social Security # (Owner 3)*
Consent (Owner 3)*
I agree
The undersigned consents to and authorizes the use of his/her consumer credit report by Piranha/Mega Manufacturing, Inc or a third party from time to time as may be needed in the credit and collection process and further authorizes banks, trade references and financial institutions the right to release information to us. To share credit information with affiliates and agents, as well as Applicant's other creditors, bureaus and persons who have or expect to have financial dealings with the Applicant of its principals named above to share collection information with Applicant other creditors. All the information in this Application is true, complete and correct. The person signing below on behalf of applicant is authorized to make this Application on its behalf and to agree to the forgoing, and also has the authority to act for Applicant's principals and co-owners in instructing Piranha/Mega Manufacturing, Inc and its agents to obtain credit reports on
them.
Signature (Owner 3)*
Phone
This field is for validation purposes and should be left unchanged.

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650 Race St. P.O. Box 1206
Rockford IL 61105, USA
Toll Free: 800-338-5471
Local: 815-964-6771
Fax: 815-964-3175