Apply for Credit with ISCO Machinery

Thank you for choosing ISCO Machinery for your equipment rental and service needs. To make your experience seamless, we offer a single-form credit application process. To begin, please download the PDF linked below. Once submitted, our team will review your application promptly and get back to you with the next steps.

If you have any questions or need assistance, please don’t hesitate to contact us.

We’re here to help!

ISCO Machinery Credit Application (Online Version)

"*" indicates required fields

1Business Information

2Owner Information

3Financial

4Trade References

5Organization Information

6Review & Acceptance

Business Information

Full Legal Company Name

Trade Name or DBA

Office Phone

Email*

Fax

Year Business Started

No. of Employees

Business Structure

Corporation

Partnership

LLC

Sole Proprietor

Nature of Business

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Bonding Company and Phone Number

Contractors License Number

Owner / Principal

Owner 1 - Name

First Last

Owner 1 - Title

Owner 1 - Social Security No.

Owner 1 - % Ownership

Owner 1 - Address

Street Address Address Line 2 City State ZIP Code

Owner 1 - Cell Phone

Owner 1 - Home Phone

Owner 1 - Homeowner

Yes

Is this owner a homeowner?

Partnership

Registered Trade Name

Place of Registration (State)

Partner Information - Partner 1

Partner 1 - Interest %

Partner 1 - Ownership Type

General

Limited

Partner 1 - Name

Partner 1 - Social Security Number

Required of all personal guarantors.

Partner 1 - Address

Street Address Address Line 2 City State ZIP Code

Partner Information - Partner 2

Partner 2 - Interest %

Partner 2 - Ownership Type

General

Limited

Partner 2 - Name

Partner 2 - Social Security Number

Required of all personal guarantors.

Partner 2 - Address

Street Address Address Line 2 City State ZIP Code

Partner Information - Partner 3

Partner 3 - Interest %

Partner 3 - Ownership Type

General

Limited

Partner 3 - Name

Partner 3 - Social Security Number

Required of all personal guarantors.

Partner 3 - Address

Street Address Address Line 2 City State ZIP Code

Partner Information - Partner 4

Partner 4 - Interest %

Partner 4 - Ownership Type

General

Limited

Partner 4 - Name

Partner 4 - Social Security Number

Required of all personal guarantors.

Partner 4 - Address

Street Address Address Line 2 City State ZIP Code

Corporation

Full Corporate Name

State of Incorporation

Date of Incorporation

Federal Tax ID

Officers and Roles

Review & Acceptance

Account Agreement and Terms:

The undersigned hereby acknowledges and agrees that this application is for a thirty(30) day account. It is agreed that all bills are due and payable on or before the tenth (10th) day of each month. All bills not paid on or before the twenty fifth (25th) day of each month shall incur a service charge to equal to 1½% per month on the unpaid balance.

The undersigned agrees to pay any collection charges, including reasonable attorney’s fees and court costs incurred in connection with collection of any past due amounts. It is further agreed that the undersigned hereby personally guarantees all obligations to ISCO Machinery, Inc.

A Damage Waiver of 15% is added to all rentals. The Damage Waiver is not insurance. It is designed to cover the repair and/or replacement of an item which is damaged due to circumstances beyond the control of the lessee. It does not cover misuse, abuse, tire repairs, window/mirror/glass repairs or accessories. The Damage Waiver is applied to all rentals unless a Certificate of Insurance is issued by your insurance company naming ISCO Machinery, Inc. as the Loss Payee and Additionally Insured. Coverage must be adequate to fully cover those items rented. This Certificate of Insurance must be in our possession prior to the rental.

The undersigned hereby certifies that all statements contained in this application - and in any financial or other statement submitted in connection with the credit applied for - are true and complete and are made for the purpose of inducing ISCO MACHINERY, INC. to extend credit to the undersigned.

I authorize you and all of your assignees to obtain such information as you may require concerning the statements contained in this application, and agree that the application shall remain your property, whether or not credit is granted. I agree to notify you of any material change in the condition of my affairs, and this statement shall be considered by you to be a continuing statement of financial condition of the undersigned until written notice to the contrary is received by you.

Signature

Name and Title

Credit Application

Apply for Credit with ISCO Machinery

ISCO Machinery Credit Application (Online Version)

Business Information

Owner / Principal

Insurance

Business Banking

Major Sources of Income

Other

Trade References

Partnership

Partner Information - Partner 1

Partner Information - Partner 2

Partner Information - Partner 3

Partner Information - Partner 4

Corporation

Review & Acceptance

Useful Links

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