EASY CREDIT APPLICATION Company Name * Address * City * State * Zip * Phone * Email Address Years in Business Federal ID# Sole Proprietorship Partnership Corporation LLC PRINCIPALS Name/Title  Social Security No.  Home Address  Name/Title Social Security No. Home Address Equipment to be financed Price * The above certifies they are applying for business purposes only and authorizes Intech Funding Corp. or its assignee to investigate all information contained herein and accompanying this application. The above authorizes and requests all parties to release any information requested concerning personal or business credit standing. Note: The credit application information you are about to submit is secure. ABOUT SSL CERTIFICATES