Application

Commercial Loan Application

This application may be submitted to PFE Capital Group by various methods...

ONLINE - Simply fill out the form below and press the SUBMIT button.
MAIL - [Click Here] to obtain a printable application and mail it to:

PFE Capital Group
659 Old Country Road
Westbury, NY 11590
Attn: Credit Department

FAX - Send the completed application to 516-333-7734
CALL IN - Contact us by phone at 516-333-4041, and we will be happy to go over the application with you.

Company Information
Name:
Address:
Address2:
City:	State: Zip:
Incorporation Date:	(mm/dd/yyyy)
Federal Tax ID#:
Phone:
Fax:

Management - (List All Owners, Officers, Partners and Stockholders)
Name:
Email:
Social Security #:
Home Address:
City:	State: Zip:
Phone #:
% ownership:
Name:
Social Security #:
Home Address:
City:	State: Zip:
Phone #:
% ownership:

Loan Information
Loan Type:
Quantity:
Year:
Make:
Model:
Description:
Total Cost:
Down Payment:
Trade:
Amount Financed:
Term:
Vendor/Seller:
Address:
City:	State: Zip:
Phone #:

Bank Accounts
Name:
City:	State:
Account #:
Phone #:
Contact:
Name:
City:	State:
Account #:
Phone #:
Contact:

References - (List two major Equipment Loan References)
Name:
City:	State:
Phone #:
Account #:
Contact:
Name:
City:	State:
Phone #:
Account #:
Contact:

List Two Major Customers or Trade References
Name:
City:	State
Phone #:
Contact:
Name:
City:	State:
Phone #:
Contact:

Work References
Name:
Phone #:
Contact:
Name:
Phone #:
Contact:

Submission

I affirm that the information provided is true and correct to the best of my knowledge. I grant permission to have this information verified and for consumer credit reports to be obtained.

Check To Agree