Financial Management Solutions

Please fill out this form for instant municipal approval:

Select the items that apply, and then let us know how to contact you.

I need funding immediately
Please secure a credit line for my municipality
I am looking in 2-6 months

*Legal Company Name
*Contact
*Physical Address
*Phone Number
Feceral Tax ID#
What is the nature of the organization (Business Type)?
Company Revenues (last financial yr.)
Company Net Worth
Loans Outstanding
Interest Payment %
Desired Term (24,36,48,60,72 Months)
Was the equipment above place for competitive bid/proposal of any kind?
Where does the funding for your organization originate?
What percentage of goverment support do you recieve?
How much is your current annual budget?
What is your projected budget for next year?
How many employees work for your organization?
Are they salaried?
How many members does your organization have listed?
How long has your organization existed?
Who has authorization to sign this lease?
Are you incorporated?
If so, in what state and how is it listed?
Are there any restrictions with regard to the lease?
Is this lease subject to annual appropriations?
What is/are the sources of funding for repayment of the lease financing? (Local Tax Revenue, State Unrestricted Funds, State Categorical Revenue, Other0 If other, please explain.
Are audited financial statements for the last (2) two fiscal periods available and will they be forwarded to ACMR for review?
Name
Title
*E-mail
Date
Your Contact Person
By typing my name below, each undersigned individual(s), who is either a principle of the credit applicant listed above or a personal guarantor of its obligations, provides written instruction to Lessor 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. A photocopy or facsimile copy of this authorization shall be as valid as the original. In addition to authorizing review of My/Our credit profile from any national credit bureau the undersigned also authorizes My/Our financial institutions and creditors to release credit information required by Lessor or its designee (and any assignee or potential assignee thereof)
Insert your signature here

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