Video Financing
Apply
Business Name: Registered Capital:
(Bus. legal name as shown on Articles of Incorporation, Fictitious Business Name (FBNS) or Partnership Agr.)
U.S.Federal ID/Chinese Business Certificate ID: Date Business Started:
Business Form: Sole Proprietor Partnership Corp. LLC Other
Business Type: Manufacturer Trading Company Buying Office Agent Distributor/Wholesaler Government ministry/Bureau/Commission Association Business Service(Transportation, finance, travel, ads, etc) Other
Street Address: County:
City: State: Zip: Website:
Contact Person Name: Title:
Phone: Fax: E-MAIL:
Business Bank Name
PRINCIPALS/Legal Representative
Name: First, Last & Initial
Title: % Ownership: DOB:
SSN #: Drivers License # & State:
Residence Address:
City, State, Zip:
Home Phone #: Fax: Own: Rent:
Personal Bank Name:
GENERAL INFORMATION
Number of Employee:s Product Type/Industry: (Click here to attach more Product Info)
What countries do you mainly sell to? America Europe Australia China Japan Korea South America Middle East Other
Do you have any commercial loans/leases outstanding? No Yes Amount $
Are they secured by assets? No Yes
If yes, what type of assets are they? Real estate Inventory Receivables Other
Would you like financing? No Yes
If yes, what type of financing are you looking for? Trade financing Receivables loan Others
How much line of credit would you like? Amount $
When will you need line of credit? Date
I hereby consent to the release of any business, banking, credit and personal information regarding this 1st PMF Bancorps application for the purpose of credit investigation. Please begin the application and verification process. The above statements are true and accurate to the best of my information and belief.
Date: Sign & Print Name:

China Mart® and Chinamart Investment Group, Inc. TERMS OF USE and PRIVACY POLICY