8:00 – 5:00

Monday to Friday

OBL Financial Services

Glen Ellyn, IL 60137

800-772-7180

Toll Free

OBL Financial Services, Inc. has been in business since 1979
August 20, 2017

8:00 – 5:00

Monday to Friday

OBL Financial Services

Glen Ellyn, IL 60137

800-772-7180

Toll Free

OBL - Secure Online Application

Please fill out as much information as possible. If you have any questions, you may contact OBL Financial Services, Inc. at 800-772-7180.

Part One General Information


Legal Business Name

Type of Ownership

Address

City

State

Zip Code

Contact Name

Contact Title

Contact Phone (required)

Contact Fax

Contact Email Address (required)

Equipment Location

Fed ID Number

Business Start Date

Nature of your Business and Equipment (2500 Max Characters)

2500 Characters Remaining

OBL Rep

Part Two Principals or Owners of Business


Owner One

Owner Name

Owner Email Address

Residence

Length of Time at Residence

Home Address

Owner City

Owner State

Owner Zip Code

Home Phone

Owner Social Security Number

Owner Title

Ownership Percent

Owner Two

Owner Name

Owner Email Address

Residence

Length of Time at Residence

Home Address

Owner City

Owner State

Owner Zip Code

Home Phone

Owner Social Security Number

Owner Title

Ownership Percent

Part Three Your Main Bank References for Past Three Years


Bank One

Bank Name

Bank Phone

Contact Name

Checking Account Number

Average Balance

Loan Account Number

Bank Two

Bank Name

Bank Phone

Contact Name

Checking Account Number

Average Balance

Loan Account Number

Part Four Business Loans Last Two Years


Lender One

Lender Name

Account Number

Open Date

Lender Phone Number

Lender Two

Lender Name

Account Number

Open Date

Lender Phone Number

Part Five Hauling References for Last Two Years (Transportation Applicants Only)


Hauler One

Company Name

Company Phone

Hauler Two

Company Name

Company Phone

Driving Experience

Years Company Driver

Years Owner Operator

Part Six Dealer Information


Dealer Name

Dealer Contact Name

Dealer Contact Phone

Equipment Cost

Equipment Description

EQUAL CREDIT OPPORTUNITY ACT - If 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 mail request to Credit Manager, 799 Roosevelt Road, Suite 6-215, Glen Ellyn, IL 60137 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. NOTICE: 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, 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 Bureau of Consumer Financial Protection, 1700 G Street NW., Washington DC 20006 and the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

RELEASE - This will be your authority and my request for you to release any and all information requested concerning personal or company credit information/ratings by telephone or fax to OBL Financial Services Inc. or any of its assignees. This includes the review of each individual(s) consumer credit information, which may factor in the credit decision. To the best of my knowledge, all of the above information is accurate.

Digital Signature (required) By signing you confirm that the information is true.

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