Lethal Customs Application - with Geneva Capital, LLC.

Primary business contact first name *

Primary business contact last name *

Primary business contact email *

Primary business contact cell # *

Equipment description *

Approximate equipment cost *

Desired term

Primary equipment supplier *

Sales rep

Promo code

* indicates a required field

Business Information

Check if business is not yet formed

Business name *

DBA

Legal structure *

Federal tax ID

Date established month *

Date established year *

Phone # *

Business Address (with Ste if applicable) *

City *

State *

ZIP Code *

Equipment

Equipment description *

Equipment location address (with Ste if applicable) *

City *

State *

ZIP Code *

Own/Rent equipment location *

Continue

Add Guarantor/Owner

Guarantor(s)/Owner(s)

Guarantor/Owner #1

Same as primary contact?

First name *

Middle name

Last name *

Suffix

Email *

Phone # *

Cell # *

Home Address (with apt if applicable) *

City *

State *

ZIP Code *

Citizenship status *

Marital status *

Date of birth (MM/DD/YYYY) *

Month (MM)

Day (DD)

Year (YYYY)

Social security number *

Percent of ownership *

Please represent 100% ownership on this application. If business is solely owned, spousal information is required on this application.

Remove Guarantor/Owner #1

Questions

Carey Kroll, Geneva Capital, LLC.

carey@gogc.com or 3207593576

Estimate Your Monthly Payment

Equipment Cost: $20,000

36 Months

48 Months

60 Months

* This calculation is for illustrative purposes only. Actual monthly payments will vary based on credit. Check with your sales rep for exact monthly payments. Financing provided by Geneva Capital, LLC.

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, LLC. 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, LLC. 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, LLC. to mail, text, fax or e-mail solicitations of future lease financing services to applicant and or collections of payment.

I have read and agreed to the above terms and conditions *