Application Form Business Name(required) Street Address(required) City, State, Zip(required) Business Phone(required) Mobile Phone(required) Email(required) Time In Business(required) Type of Organization Federal Tax ID Principal Name(required) Social Security Number(required) Select one Owner President VP Secretary Member Manager Additonal Guarantor Other % Ownership Principle 2 Name Social Security Number Title Owner President VP Secretary Member Manager Additional Guarantor Other % Ownership Vendor / Seller Vendor Phone Equipment To Be Finance Equipment Cost Account Representative(required) Karen McKay The Principals agree the information provided Shamrock Equipment Financing is for the purpose of obtaining credit and respresents that all such information is true, complete, and accurate. By submitting this application, each of the individuals authorize Shamrock Equipment Financing and any of its affiliates, successors, and assigns to obtain consumer credit reports relating to their individual credit history and/or creditworthiness in connection with the attached credit application by the applicant/s identified.(required) Submit Δ