AXE Equipment Finance

190 Congress Park Drive #140, Delray Beach FL 33445

Phone: 855.720.2414

Email to: info@AXEef.com

Business Information

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DBA :

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# of Trucks in Fleet :

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Years of CDL Experience :

Years as Owner Operator / Paid as 1099 :

Owner

Name :

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DOB :

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Home Owner :

Previous Repo :

CDL :

Previous Bankruptcy :

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Equipment & Vendor

Equipment :

Additional Unit or Replacement Unit :

Sales Price :

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Vendor Name :

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Include Sales Tax :

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Website :

Acknowldege :

By clicking "Submit", on behalf of themselves and the applicant, the applicant and the Owners/Partners/Members/Guarantors agree as follows:

They certify that all information provided is true, correct and complete and that the property leased or acquired with any credit provided will be used solely for business and commercial purposes. Providing email addresses authorizes AXE Equipment Finance LLC to email information about financing, promotions, and other offers. The applicant and the Owners/Partners/Members/Guarantors of the applicant listed above recognize that their individual credit histories may be a factor in the evaluation of the applicant for the credit it is applying for and, thus, authorize AXE Equipment Finance LLC or its designee to investigate their organizational and personal credit histories. This includes obtaining information from all sources including using their consumer credit reports in the credit evaluation and collection processes, and to update any such information periodically and, if the application for credit is approved, share such information with financing partners and professional advisors.

Signature: