Consumer Receivables Financing Application
Please complete and submit this Application to receive
a free, no obligation Consumer Receivables Purchase Proposal.
Best time to call
Length of time in business
Number of locations
Description of product or service purchased by consumer
Length of time before product or service is fully delivered
(include any promised support and/or guarantees)
How is your product or service sold to consumers
Yellow Page ads
What is the profile of your customer
Do you currently offer a financing program? Yes
If yes, do you currently sell these receivables? Yes
Which lenders do you currently use?
Will we replace or work in conjunction with your current financing program?
What is the current monthly volume of financed sales?
What is the principal balance of your current receivables portfolio?
How much of that portfolio is delinquent (90 days or more past due)?
Do you check credit prior to extending financing? Yes
Which credit reporting agency do you use? Experian
Contract: Average amount financed?
Contract: Down payment amount?
Terms offered (6, 12, 24, 36, 48, or 60 months)?
Interest rate charged %?
What do you do with delinquent accounts or write offs?
Will you need retail installment contracts supplied? Yes
Are company financial statements prepared? Yes
How often are company financial statements prepared?
Have you or your company ever filed for bankruptcy? Yes
If yes, please provide details
How is your personal credit?
Explain any problem areas with your personal credit
Are the principals of your company willing to personally guarantee receivable purchases? Yes
Have you had any complaints filed against you with the Better Business Bureau or the Attorney General? Yes
If yes, please explain.
Additional Comments or Information
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