Wilmax Funding - Specializing in Truck, Trailer, Construction and Equipment Financing.

Please complete and submit our simple one page online application or give
us a call. We would be more than happy to discuss your fiduciary request
and answer any questions that you may have. When it comes to Commercial Equipment Financing, rest assured that Wilmax Funding can secure the equipment your company needs to achieve its financial goals.

You can also download or print the pdf form and mail it to :
Wilmax Funding
28363 Lobelia Ln.
Valencia, CA 91354
Ph.: (661)298-4500

Or fax it to (661)298-4503

Online application form (PDF file)

* You must have Adobe Acrobat Reader installed on your computer to download these files, if not, please click the icon to install a "Free version".

COMPANY INFORMATION:

Legal Business Name :	Phone :	City

Business Address :	State	Zip Code

Type of Business	State of Incorporation	Years of Incorporation

No. of Employees	Years in Business	Federal Tax I.D

E-Mail	Cell Phone:	Fax:

Have you ever filed for Bankruptcy

No Yes if yes Date of BK:

EQUIPMENT INFORMATION:

Name of Vendor/Seller	Contact Person	Telephone

Address	City	State	Zip Code

Description of Equipment	Cost$	Months Requested

OWNERSHIP INFORMATION:

Principal’s Name	Title	% of Ownership	Social Security No.

Address	City	State	Zip Code

Principal’s Name	Title	% of Ownership	Social Security No.

Address	City	State	Zip Code

BANK ACCOUNT/BUSINESS INFORMATION:

Business Checking (Bank Name)	Telephone	Contact Person	Account No.

Personal Acct. (Bank Name)	Telephone	Contact Person	Account No.

TRADE REFERNCE INFORMATION:

Trade Reference (Co. Name)	Telephone	Contact Person	Account No.

Trade Reference (Co. Name)	Telephone	Contact Person	Account No.

CREDIT RELEASE AUTHORIZATION:

Wilmax Funding, Its successors or assigns, is hereby authorized to investigate (Directly or through an agent or nominee) our credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in consideration of this application and subsequently for the purpose of update, renewal or the extension of such credit. By signature below, we hereby authorize references to release any information requested by Wilmax Funding.When it comes to Commercial Equipment Financing, rest assured that Wilmax Funding can secure the equipment your company needs to achieve its financial goals.

Name: Name: Date:

Online Application form

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