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Form with Credit Card

https://grandforksndrealestate.com/event/realtor-code-of-ethics-ce-class-june-5th-2024/ Can turn off description if using shortcode instead of widget by adding description="false"

"*" indicates required fields

Instagram

This field is for validation purposes and should be left unchanged.

Full Name*

Company*

Phone*

Email*

Refund Policy*

I agree to the refund policy

REFUND POLICY - Full refund (less $10 processing fee) may be returned. NO REFUNDS OR CREDITS THEREAFTER.

Event Registration Fee*

Price:

Credit Card*

Non-Job Application

https://www.nexuscapitalcompany.com/dealer-portal/secure-application-company/ Can turn off description if using shortcode instead of widget by adding description="false"

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Co-Applicant(s) or Owner Information if Applicant is an Entity (all majority owners)

1.) Co-Applicant or Owner Information - (Required)

First Name*

Middle Name

Last Name*

Social Security #*

Title*

Ownership %*

DOB*

MM slash DD slash YYYY

Address*

City*

County*

State*

ZIP Code*

2.) Co-Applicant or Owner Information

First Name

Middle Name

Last Name

Social Security #

Title

Ownership %

DOB

MM slash DD slash YYYY

Address

City

County

State

ZIP Code

Equipment Information

Equipment Type*

Equipment Year*

Equipment Make*

Equipment Model*

Existing Hours

Equipment*

New

Used

Selling Price*

Financing Requested*

Dealer Name*

Dealer Location*

Sales Person Contact*

Sales Person Phone*

Equipment Traded?*

Amount Owed*

Will the equipment be used for custom work?*

Financing Type*

Loan

Lease

Refinance-Loan

Refinance-Lease

Term (in months)*

36

48

60

66

84

90

Payment*

Annual

Semi-Annual

Quarterly

Monthly

Request eDocuments?*

Yes

No

Dealer Comment

This field is hidden when viewing the form

Stage - HIDDEN FORM

Quote

Dead quote

Application

Credit Review

Approved

Docs Out

Docs Received

Funded

Declined

Cancelled application

Other

Pending Authorization

Approved Authorization

Rejected Authorization

Paid

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Close Date - HIDDEN FORM

MM slash DD slash YYYY

This field is hidden when viewing the form

Lead Source - HIDDEN FORM

Brandt Referral

Other Dealership

Admin

Dealership Leases

Nexus Customer Direct

Rental Dealership

Please upload any supplemental documents to accompany your application.

File

Drop files here or

Max. file size: 2 MB, Max. files: 5.

Request eDocuments*

Disclosure Information Provided to Customer

By submitting this application, the undersigned warrants that the applicant and each individual listed as a principal, partner, owner, guarantor or obligor, authorize and warrant as follows: Nexus Capital Co. and/or its lenders and assigns, may obtain commercial and consumer credit reports, investigate references and statements, and make other credit inquiries about the applicant and all such individuals, and anybody contacted in connection therewith may release any credit and financial information; all information on or accompanying this Application is true and complete; Application for financing is for business or commercial purposes only and not for family, personal or consumer purposes; applicant, if an individual, is a citizen or lawful permanent citizen of the United States; and this Application will apply to any future request for additional financing and all notices, disclosures, consents and warranties shall be deemed repeated for each future request, unless applicant submits a new written application. Nexus Capital Co. does not make offers or commitments to extend credit except in final signed documents. Term sheets, quotes, proposal letters or approval letters are not commitment letters.

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 contact Customer Service Manager, Nexus Capital Co. 4650 26th Avenue South, Suite E, PO Box 230, Fargo ND 58107 or 701-237-6000 within 60 days from the date you are notified of decision. A written statement of reasons for the denial will be sent 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. A number of federal agencies share enforcement responsibilities of this law. Determining which agency to contact depends on the type of creditor you dealt with. Consult the creditor to whom this application is addressed for information on its regulator, or contact The Federal Trade Commission, Consumer Response Center, Washington D.C. 20580. Term sheets, quotes, proposal letters or approval letters are not commitment letters and shall not be binding on Nexus Capital Co.

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Form with Credit Card

Non-Job Application

Company Information

Co-Applicant(s) or Owner Information if Applicant is an Entity (all majority owners)

1.) Co-Applicant or Owner Information - (Required)

2.) Co-Applicant or Owner Information

Equipment Information