Business Credit Application

Business Legal Name *

Required

DBA (Optional)

Industry *

Required

Tax ID / EIN *

Encrypted & never stored in plaintext

Enter a valid EIN (XX-XXXXXXX)

Entity Type *

Required

State of Incorporation *

Required

Date Established *

Required

Email *

Enter a valid email

Phone *

Enter a valid phone number

Gross Monthly Revenue *

$

Required

Street Address *

Required

Suite / Apt / Other

City *

Required

State *

Required

ZIP *

Required

Bank Name *

Required

Account # *

Encrypted & never stored in plaintext

Required

Bank Phone *

Enter a valid phone number

Contact Person *

Required

Branch Address

Street Address *

Required

Suite / Apt / Other

City *

Required

State *

Required

ZIP *

Required

First Name *

Required

Last Name *

Required

Email Address *

Enter a valid email

Daytime Phone *

Enter a valid phone number

Date of Birth *

Required

Social Security Number *

Encrypted & never stored in plaintext

Enter a valid SSN

Residence Type *

Required

Monthly Payment *

$

Required

Time at Residence *

yrs

mos

Required

Street Address *

Required

Suite / Apt

City *

Required

State *

Required

ZIP *

Required

Employer is the same as the business above

Employer Name *

Required

Employer Phone *

Enter a valid phone number

Employer Street Address *

Required

Suite / Apt

City *

Required

State *

Required

ZIP *

Required

Length of Employment *

yrs

mos

Required

Annual Income *

$

Required

Other Income Source (Optional)

Personal Guarantor DL (Optional)

Click or drop file here

The applicant(s) and personal guarantor(s) authorize Regal Motorcars and its affiliates to obtain consumer reports and related information from one or more consumer reporting agencies for the purpose of evaluating the business credit application. Applicant(s) further authorize Regal Motorcars to share the information with potential lenders, financial institutions, and other third parties as necessary to process the application for credit. Applicant(s) understand this authorization permits inquiries to verify information provided and to determine creditworthiness. Applicant(s) agree to the Terms of Service and Privacy Policy.

The applicant(s) and personal guarantor(s) certify that all information provided is accurate and complete to the best of my knowledge.

Business Information

Business Address

Business Bank Information

Branch Address

Personal Guarantor Information

Current Residence

Previous Address

Employment Information

Document Upload

Authorization & Consent

Application Submitted