Chess Capital Apply Now - Asset Based Lending

Apply Now – Asset Based Lending

Apply Now – Asset Based Lending

Apply Now – Asset Based Lending

Chess Capital Application – ABL

( Please Complete )

Lessee Information

Legal Business Name(Required)

Time In Business(Required)

Tax ID Number

Number of Employees

Annual Revenue

Business Structure

Sole Proprietorship, Partnership, Corporation, LLC?

Street Address(Required)

State(Required)

City(Required)

Zip Code(Required)

Main Phone Number(Required)

Cell Phone Number

Email(Required)

Website

Personal Information

Full Name

Street Address

City, State, Zip Code

Phone Number

Social Security Number

Title

Ownership Percentage

Full Name ( 2nd Owner )

Street Address

City, State, Zip Code

Phone

Social Security Number

Title

Ownership Percentage

Additional Owners

Please Provide: Full Name, Address, Social Security Number

Collateral Description – Soft ( Paper ) Accounts Receivable, Invoice, Factoring & Etc.

Asset Description

Cash Value

Term(s)

(LTV) Amount Requested

Use of Funds

Quantity

Percentage Ownership Of Asset

Collateral Description – Hard ( Tangible ) Inventory, Equipment, CRE & Etc.

Asset Description

Cash Value

Term(s)

(LTV) Amount Requested

Use of Funds

Quantity

Percentage Ownership of Asset

Signature

Signature of Applicant(Required)

Date(Required)

Signature of Applicant

Date

Apply Now – Asset Based Lending

Apply Now – Asset Based Lending

Chess Capital Application – ABL

Lessee Information

Personal Information

Collateral Description – Soft ( Paper ) Accounts Receivable, Invoice, Factoring & Etc.

Collateral Description – Hard ( Tangible ) Inventory, Equipment, CRE & Etc.

Signature

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