Loan Application – Existing Customer

For our existing customers we can get started on your loan request with the following information. Depending upon the size of your request and the information we have on file, we may have all we need to respond to your request. If we require additional information our team will contact you.

First Name:*
Last Name:*
Phone:*
Cell Phone:
Email:*
Company Name:*
Equipment Cost:*
Loan Amount Requested:*
Equipment Description:*
Preferred Method of Contact:*
I am buying this equipment from:
Attach File:
By clicking Yes, you acknowledge that you have read the terms and conditions below and agree to be bound by same in its entirety:*

Terms and Conditions:

I submit the information hereof is true and complete, and I agree to furnish financial statements from time to time as you may request, and promptly notify you of changes in my financial circumstances. Authorization is given for Firestone Financial Corp. to inquire about credit experience of above bank and trade references and to make inquiries of credit reporting agencies and authority is granted for stated references and credit reporting agencies to furnish this information. Further, I authorize Firestone to contact me via auto-phone/text messaging in order to communicate important information.

If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Firestone Financial Corp. within 60 days from the day you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

NOTICE: The Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract): familial status, sexual orientation, ancestry, handicap or whether or not all or part of the person’s income derives from any public assistance program: or whether the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is Federal Deposit Insurance Corporation, 15 Braintree Hill Office Park, Braintree, MA 02184. The state agency that administers compliance with the state law is Massachusetts Commission against Discrimination, One Ashburton Place, Boston, MA 02108.

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