Credit Authorization:
*Required Field
Credit Authorization:
By signing this application, this allows Stephenson Equipment, Patriot Financial LLC, and all its lending partners authorization to pull credit for the above mentioned equipment purchase, parts, service, and rental.
Equal Credit Opportunity Act Notice
If your application for business credit is denied, you have a right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Stephenson Equipment within 60 days from the date you are notified of our decision. Our mailing address is: Stephenson Equipment, 401 Port View Dr. Harrisburg PA 17011.
We will send you a written statement of reasons for denial within 30 days of receiving your request for the statement. The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, gender, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act.
The federal agency that administers compliance with this law concerning this creditor is the Consumer Financial Protection Bureau, 1700 G Street NW, Washington, DC 20006. Applicant: Please retain for your records.
USA PATRIOT Act Notice
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person or entity opening an account or establishing a credit relationship with the financial institution. This requirement applies to Patriot Financial LLC, and all its lending partners.
What this means for you: If you are an individual, when you open an account or apply for credit, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may ask to see your driver’s license or other identifying documents. If you are a business or entity, we will ask for information about your entity, including its tax identification number, address, and documents evidencing legal incorporation, formation or existence. We may also request information about your owners, directors and executive officers.
Stephenson Equipment Terms:
I affirm that each of the answers to the foregoing questions is true and correct, and I authorize any person or entity mentioned herein to furnish any information you may require in connection with this application. Furthermore, I authorize you to make any inquiries deemed necessary, including obtaining consumer and/or business credit reports.
Labor, Parts, Supplies: “Net 30 Days”.
Equipment: Payable on Delivery.
Rentals: Payable in Advance.
Past Due accounts: Interest at 1-1/2% per month will be charged, and sales will be made on C.O.D. basis only.
*Signature Required
