Gravity Forms code - (superbee use only)

Hidden

Vendor_CRM_Account_ID

Hidden

Vendor_CRM_Contact_ID

Full Legal Business Name(Required)

Doing Business as (DBA)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Phone Number

Business Website

Business Structure(Required)

FEIN – Tax ID

Industry

Date Company Formed

Owned Since

Description of Business

Reason For Purchase

Equipment Cost(Required)

New or Used?

Equipment Description(Required)

Will the equipment be located somewhere other than the business address?

Location of Equipment(Required)

Street Address Address Line 2 City State ZIP Code

Who are you purchasing from?(Required)

Dealer/Vendor/Service Provider

Private Party

Not sure yet

Seller Details

Seller's Business Name(Required)

Seller's Contact Person(Required)

Seller's Phone(Required)

Seller's Email

Applicant 1(Required)

First Middle Last Suffix

Title 1

Applicant-1, Home address same as Business address?(Required)

Address 1

Street Address Address Line 2 City State ZIP Code

Mobile Number 1(Required)

Email 1(Required)

Date of Birth 1

SSN 1(Required)

Do you Own or Rent your home 1

Own

Rent

Have you ever filed Bankruptcy 1

No

Yes

Ownership Percent 1

Please enter a number less than or equal to 100.

Applicant 2

First Middle Last Suffix

Title 2

Applicant-2, Home address same as Business address?(Required)

Address 2

Street Address Address Line 2 City State ZIP Code

Mobile Number 2

Email 2(Required)

Date of Birth 2

SSN 2(Required)

Do you Own or Rent your home 2

Own

Rent

Have you ever filed Bankruptcy 2

No

Yes

Ownership Percent 2

Please enter a number less than or equal to 100.

Additional Owners?

Yes

No

Applicant 3

First Middle Last Suffix

Title 3

Applicant-3, Home address same as Business address?(Required)

Address 3

Street Address Address Line 2 City State ZIP Code

Mobile Number 3

Email 3(Required)

Date of Birth 3

SSN 3(Required)

Do you Own or Rent your home 3

Own

Rent

Have you ever filed Bankruptcy 3

No

Yes

Ownership Percent 3

Please enter a number less than or equal to 100.

Would you also be interested in exploring how a working capital loan could help support your business growth, improve cash flow, and seize new opportunities? (Must be 1yr time in business or greater)

Working Capital Loan Section (see below)

Apex also offers Working Capital Loans. Fill this section out if you’re interested in Working Capital in addition to your Equipment Financing.

If approved for a Working Capital loan, what would the funds be used for?(Required)

e.g.: Hiring new staff, inventory purchase for resale, website development, marketing campaign…

Amount Desired(Required)

Do you have any open Working Capital balances now?(Required)

How much is still owed?(Required)

What's your approx. annual gross revenue?(Required)

Gravity Forms code – (superbee use only)

Credit Application

Seller Details

Working Capital Loan Section (see below)