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Municipal Application

TERMS
Equipment Cost/Project(*)
Equipment Cost is a required numeric field.
Equipment Description(*)
Equipment Description is a required field.
Equipment Condition
Invalid Input
Equipment Description is a required field.
Replacement
Invalid Input
Equipment Description is a required field.
Est. Delivery Date
Invalid Input
Invalid Input
Payments(*)
Payments is a required field.
Vendor
Invalid Input
Sales Rep
Invalid Input
 
Federal Tax ID
Federal Tax ID is a numeric field.
County
Invalid Input
Invalid Input
Primary Phone #(*)
Phone # is a required field.
Address(*)
Address is a required field.
Invalid Input
(*)
City is a required field. State is a required field. Zip Code is a required field.
Equipment Location
Invalid Input
(*)
Equipment address is a required field.
Invalid Input
(*)
Equipment city is a required field. Equipment state is a required field. Equipment zip is a required field.
Date Company Est. (under current ownership)(*)
/
Company establishment date is a required field.
Obligor Self-Insure
Invalid Input
Invalid Input
Contract Payment
Invalid Input
Invalid Input
Ever Default?
Invalid Input
Invalid Input
More Than $10M
Invalid Input
Invalid Input
Attach reference document
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

 
Primary Contact(*)
Invalid Input
Invalid Input
Title
Invalid Input
Invalid Input
Email(*)
Invalid Input
Invalid Input
Phone(*)
Invalid Input
Invalid Input
Fax
Invalid Input
Invalid Input
Authorized Signer(*)
Invalid Input
Invalid Input
Secondary Contact
Invalid Input
Invalid Input
Title
Invalid Input
Invalid Input
Phone
Invalid Input
Invalid Input
Fax
Invalid Input
Invalid Input
 

Review

Terms

Equipment Cost/Project(*)
Equipment Cost is a required numeric field.
Equipment Cost is a required numeric field.
Equipment Description(*)
Equipment Description is a required field.
Equipment Description is a required field.
Equipment Condition
Invalid Input
Invalid Input
Replacement
Invalid Input
Invalid Input
Est. Delivery Date
Invalid Input
Invalid Input
Payments(*)
Payments is a required field.
Vendor
Invalid Input
Invalid Input
Sales Rep
Invalid Input
Invalid Input
Legal Name of Obligor(*)
Legal business name is a required field.
Legal business name is a required field.
Federal Tax ID
Federal Tax ID is a numeric field.
Federal Tax ID is a numeric field.
County
Invalid Input
Invalid Input
Primary Phone #(*)
Phone # is a required field.
Phone # is a required field.
Address(*)
Address is a required field.
Address is a required field.
Invalid Input
Invalid Input
(*)
City is a required field. State is a required field. Zip Code is a required field.
(*)
Equipment address is a required field.
Invalid Input
Invalid Input
Invalid Input
(*)
Equipment city is a required field. Equipment state is a required field. Equipment zip is a required field.
Date Company Est. (under current ownership)(*)
/ Company establishment date is a required field.
Invalid Input
Obligor Self-Insure
Invalid Input
Invalid Input
Contract Payment
Invalid Input
Invalid Input
Ever Default?
Invalid Input
Invalid Input
More Than $10M
Invalid Input
Invalid Input

Owner(s)

Primary Contact(*)
Invalid Input
Invalid Input
Title
Invalid Input
Invalid Input
Email(*)
Invalid Input
Invalid Input
Phone(*)
Invalid Input
Invalid Input
Fax
Invalid Input
Invalid Input
Authorized Signer(*)
Invalid Input
Invalid Input
Secondary Contact
Invalid Input
Invalid Input
Title
Invalid Input
Invalid Input
Phone
Invalid Input
Invalid Input
Fax
Invalid Input
Invalid Input
 

Terms and Conditions

By checking this box, the applicant(s) certifies that all information contained in this application, and all attachments hereto, are true and accurate to the best of the applicant(s) knowledge and are made for the purpose of obtaining credit for business purposes, and not for personal or family use. The applicant(s) hereby authorize Geneva Capital L.L.C. and its assigns to obtain and use consumer credit reports on the undersigned, now and from time to time, as may be needed in the credit evaluation and review process if credit is extended and waives any right or claim the applicant(s) would otherwise have under the Fair Credit Reporting Act in absence of this continuing consent. The applicant(s) further authorize any government agency, bank or financial institution to release credit information on the applicant(s) accounts to Geneva Capital L.L.C. and its assigns. If credit is extended, Applicant agrees that by selecting the “Submit Application Securely” button this electronically transmitted application shall be deemed to be binding, valid, genuine and authentic as an original-signature document for all purposes. The applicant(s) further authorize Geneva Capital L.L.C. to mail, text, fax or e-mail solicitations of future lease financing services to applicant and or collections of payment.

Authorization must be checked.

Chris Kleine

chrisk@gogc.com
(320) 759-3582
Geneva Capital LLC
522 Broadway Street | Alexandria, MN 56308
M-F, 8:00am-5:00pm CST

Note: Financing is for equipment that is to be used for business purposes. Quoted payments do not include taxes, maintenance, or insurance. Quotes are subject to credit approval. Terms for start-up companies may be structured differently depending on industry and credit strength of the lessee.