Church Application - Hampton Ridge Financial

Church Credit Application

Church/House of Worship Information
Church Name*
Church Phone Number*
Federal Tax ID Number (EIN):
Physical Address*
Street Address (No P.O. Box) City State ZIP Code
Church Email*
Enter Email Confirm Email
Sales Tax Exemption Status*
Number of years in existence*
Is your church part of a Major Denomination?*
If yes, which one?*
Church Website Address
www.yourchurchwebsite.com
Pastor, Member, and/or Guarantor Information
How many guarantors?*
Guarantor #1 (first and last name)*
First Last
Title*
Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Social Security Number*
*Soft credit inquiry only
Date of Birth*
MM
DD
YYYY
Mobile Phone*
Email*
Enter Email Confirm Email
Guarantor #2 (first and last name)*
First Last
Title*
Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Social Security Number*
*Soft credit inquiry only
Date of Birth*
MM
DD
YYYY
Mobile Phone*
Email*
Enter Email Confirm Email
Guarantor #3 (first and last name)*
First Last
Title*
Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Social Security Number*
*Soft credit inquiry only
Date of Birth*
MM
DD
YYYY
Mobile Phone*
Email*
Enter Email Confirm Email
Guarantor #4 (first and last name)*
First Last
Title*
Pastor, Member, CFO, etc.
Home Address*
Street Address City State ZIP Code
Social Security Number*
*Soft credit inquiry only
Date of Birth*
MM
DD
YYYY
Mobile Phone*
Email*
Enter Email Confirm Email
Equipment Information
What are you purchasing?
Equipment Type*
Audio/Visual, Furniture, HVAC, Vehicles, etc.
Equipment Cost*
Vendor
Who are you buying from?
Time Frame*
Declaration
I have read and agree to the Terms & Conditions