Orange
Commercial
Credit

  
  BUSINESS
APPLICATION

2108 Caton Way S.W.
   Olympia, WA 98502
Phone (800) 231-3878
    Fax (360) 956-1520
             

   COMPANY PROFILE          * Indicates Response Required

Business Type *

OWNERS/OFFICERS/LLC MEMBERS Please Account for 100%

Own or Rent *
Own or Rent
Own or Rent

FINANCIAL INFORMATION

Any taxes past due? *
Installment Agreement

PERSONAL REFERENCES

BUSINESS LOANS

ACCOUNT INFORMATION

Have You Ever Factored Before? *

CUSTOMER LIST Please list the 5 largest customers you wish to factor

TRANSPORTATION COMPANIES Please provide the following

Check all that apply to your business *
Payment Method
Frequency of Payments

DOCUMENTATION The following must be provided to OCC in order to process your application


Organizational Documents


Transportation companies please include copies of the following

The undersigned hereby declares that the information provided in this application is true and correct to the best of his/her knowledge. The undersigned without further notice hereby authorizes Orange Commercial Credit to make whatever inquiries deemed necessary concerning the parties listed herein for the purpose of evaluating this application.
 
Orange Commercial Credit is also authorized to provide any and all credit information relating to the parties herein to other creditors and/or credit reporting agencies. Applicant represents that applicant will use any and all monies borrowed primarily for the purpose other than personal, family or household usage. All applicants must sign and date below.
 
Date __________________ Signature__________________________________________ Title__________________


Date __________________ Signature__________________________________________ Title__________________


Date __________________ Signature__________________________________________ Title__________________
Once completed please PRINT form and have each officer/owner sign and then fax with Documentation listed above.
 *
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