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Home
How it Works
Equipment Financing
Ultimate Invoice Factoring Guide
Recommended Load Boards
Partner with Integrity
FAQ
Get Started
Get Started
Application to Become a New Client
About Us
Why Integrity Factoring
About Us
Employment Opportunities
News
Contact Us
Application to Become a New Client
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Application to Become a New…
Business Information
Business Name
*
Business Type
Sole Proprietor
Partnership
LLC
Corporation
Business Contact Name
*
Business Phone Number
*
Business Email
*
Business Address
City
State
ZIP
Different Mailing Address
Mailing Address
City
State
ZIP
MC #
DOT #
How Many Employees (W2)
How Many Subs (1099)
Description of Your Business (What do you do)
*
Currently Factoring
Yes
No
Principal(s) of Business
First Name
Last Name
Title
% Ownership
Home Address
City
State
ZIP
Cell Number
Email Address
Social Security #
*
Additional Owners
Additional Owners
First Name
Last Name
Title
% Ownership
Home Address
City
State
ZIP
Cell Number
Email Address
Social Security #
First Name
Last Name
Title
% Ownership
Home Address
City
State
ZIP
Cell Number
Email Address
Social Security #
First Name
Last Name
Title
% Ownership
Home Address
City
State
ZIP
Cell Number
Email Address
Social Security #
Customers You Wish to Factor
Business Name
*
City
State
Phone Number
*
Monthly Average Volume ($)
*
Days Your Customer Takes to Pay
Worked With (Yrs.)
Additional Customers
Additional Customers
Business Name
City
State
Phone Number
Monthly Average Volume ($)
Days to Pay
Worked With (Yrs.)
Business Name
City
State
Phone Number
Monthly Average Volume ($)
Days to Pay
Worked With (Yrs.)
Business Name
City
State
Phone Number
Monthly Average Volume ($)
Days to Pay
Worked With (Yrs.)
Assets of the Company
How Many Trucks
*
How Many Trailers
Type of Trailers
Authorization
*
The forgoing information is true and correct to the best of my knowledge and is given to induce Integrity Factoring & Consulting, Inc. to consider entering into a factoring agreement with this company. I understand that by submitting this application it does not guarantee approval for financing or any other services that Integrity Factoring & Consulting, Inc. may provide. I hereby authorize Integrity Factoring & Consulting, Inc. or its agents to verify and investigate any or all of the foregoing statements and the right to procure any and all credit reports pertaining to any party listed in this application.
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