1 Company Information

Legal Business Name *

Enter your legal business name.

Time in Business *

Tell us how long you have been operating.

Entity Type *

Choose LLC, INC or SOLE PROP.

Street Address *

Enter the business street address.

City *

Enter the city.

State *

Use the 2-letter state code.

ZIP *

Enter a 5-digit ZIP code.

Business Phone *

Enter a 10-digit phone number.

Email *

Enter a valid email address.

Tax I.D. # (EIN) *

Enter your 9-digit federal Tax I.D.

2 Primary Owner

Personal details for the owner who will guarantee this account.

First Name *

Enter your first name.

Last Name *

Enter your last name.

Cell Phone *

Enter a 10-digit mobile number.

Home Street Address *

Enter your home street address.

City *

Enter the city.

State *

Use the 2-letter state code.

ZIP *

Enter a 5-digit ZIP code.

Ownership % *

Enter your ownership percentage.

Social Security Number *

Enter all 9 digits of your SSN.

🔒 Your SSN stays on this device. Nothing is uploaded — the completed PDF is built right here in your browser.

3 Co-Owner

This business has a second owner
Leave unchecked if there is only one owner.

First Name *

Enter the co-owner's first name.

Last Name *

Enter the co-owner's last name.

Home Street Address *

Enter the co-owner's street address.

City *

Enter the city.

State *

Use the 2-letter state code.

ZIP *

Enter a 5-digit ZIP code.

Ownership % *

Enter the ownership percentage.

Social Security Number *

Enter all 9 digits of the SSN.

4 Equipment & Terms

Vendor Name *

Who are you buying the equipment from?

Vendor Contact optional

Vendor Phone optional

Equipment Description *

Describe the equipment.

Cost *

Enter the equipment cost.

Condition *

New Used

Select New or Used.

Term(s) Requested — months * select all that work for you

Pick at least one term.

5 Authorization & Signature

By signing below, each undersigned individual (s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction SOCAL ECS LLC or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update, renewal, or extension of such credit and for reviewing or collecting the resulting account. I authorize all deposit, borrowing, and trade information to be released to SOCAL ECS LLC. I represent all information is true, correct, and complete. A photo static, facsimile copy, or electronically signed version of this authorization shall be as valid as the original.

🔒 This authorization is fixed and cannot be edited.

Signature****** Do not E-sign this document, our underwriters require a “REAL” signature******

Sign with your finger or a stylus — this captures your real handwriting, not a typed e-signature.

Primary Owner Signature *

Sign here with your finger

Signed

I have read and agree to the authorization above
I confirm all information provided is true, correct, and complete.

Please confirm you agree to the authorization.

✓

Application complete

Your signed PDF has been downloaded. Send it to us and we’ll take it from here.

Email it to SOCAL ECS

Attach the downloaded PDF to the email — phones can’t attach it automatically.