Apply Now – Reliant Capital Group

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  • Please complete all questions and submit form below.

  • PERSONAL INFORMATION

  • BUSINESS INFORMATION

  • EQUIPMENT INFORMATION

  • By submitting below, each undersigned individual(s), who is a principal of the credit applicant or a personal guarantor of its obligations and authorized to act on its behalf, recognizing that individual credit history may be a factor in the evaluation of the application, provides written instruction to Reliant Capital or its designee (and any assignee or potential assignee thereof) authorizing release, review, and retention of his or her business and personal credit information, including consumer credit reports, trade, borrowing or deposit information, for the purpose of considering the application or the update, renewal, or enforcement of the resulting account. I represent all information provided to Reliant Capital is true, correct and complete. By signing this Application, the business-applicant and each owner, officer or guarantor listed above direct Reliant Capital to share any information, including (if applicable) “personal information" as defined in the California Consumer Privacy Act or other applicable law, with other persons that are involved in or may participate with Reliant Capital in providing commercial funding and related services and for any purpose set forth in the Privacy Policy. Reliant Capital is authorized to contact applicant and or the undersigned using any telephone number, address or email address provided, including by SMS messaging with an opt out option. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided the applicant has the capacity to enter into the 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 or other applicable law. If for any reason your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please write to Reliant Capital at the address above within 60 days from the date of Reliant Capital’s notice of a decision on this application, and it will send you a written statement of reasons for the denial of credit within 30 days of receipt of the request.  A photo static, facsimile copy, or electronically signed version of this authorization shall be as valid as the original.