Finance

Company Information

Please complete all fields with an asterisk (*)

Ownership Information

Please provide for person(s) with 20% or more ownership.

Authorization

Signature authorizes Taycor Financial, Terra Point, and its assignees to verify credit and financial information from all appropriate sources. Such verification may include obtaining business as well as individual credit and financial background of officers and principals, as well as bank, trade, and comparable borrowing references. Submission of this form is consent that information transmitted via the Internet carries with it inherent risk when done via an unsecured network connection. Signature below must be done by only an authorized member and must be 18 years of age or older.

Please complete all fields with an asterisk (*)