Alliance Commercial Capital


	Opened new Florida office to service Southeastern Region.
	ACC has launched it’s Healthcare Lending program to service the medical community.
	ACC has launched it's Asset Based Lending Program (ABL) to address those challenged and start-up credits from $150,000 to $3,000,000.
	ACC has also just introduced its Municipal and Tax-Exempt financing program for State, Cities, Counties, School Districts, and Special Purpose Districts.

To download an Application in PDF format,
simply click on the link below.

ACC CREDIT APPLICATION - PDF Format

Please provide the following contact information:

Date

Company Name

Company Address

City, State, Zip

Equipment Location (if different)

Contact

Title

Tel#

Type of Business

Fax#

Years In Business

Fed. I.D.#

Duns#

Type of Organization

Bank References:

Bank Name
Account#
Contact
Tel#

Bank Name
Account#
Contact
Tel#

Trade References:

Supplier
Contact
Tel#

Supplier
Contact
Tel#

Supplier
Contact
Tel#

Equipment Description:

Cost
Term

Vendor

Address

City, State, Zip

Tel#

Fax#

Contact

Personal Guarantors:

Name
Address
Soc. Sec.#
%

Name
Address
Soc. Sec.#
%

Name
Address
Soc. Sec.#
%

I hereby authorize our banks, trade references, and financial institutions to release credit information to Lessor and further authorize Lessor to obtain other credit information including "D & B" reports and Credit Bureau Reports. The submission of this entry shall be valid as the original and shall constitute an electronic signature.