Mazak Online Finance Application.

Thank you for completing the online financing application. A member of Mazak Capital Equipment Financing will be in contact with you regarding your application. Should you need to speak with a member of our team, please call (859) 342-1311 or send an email.

Mazak Online Finance Application Form

Please complete this form. A printable version is also available. Required fields are marked with an asterisk(*).

Company Contact Information
Company name field is required
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Street number field is required.
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Street name field is required.
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City field is required
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Province field is required
Postal Code field is required
Invalid format
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For US applicants, example 12345 or 12345-6789. For Canadian applicants, example A8A 8A8 or A8A 8A8 A8A.

Phone field is required
Phone number format should be (XXX) XXX-XXXX
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Invalid phone extension
Fax format should be XXX-XXX-XXXX
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Applicant Contact Information

First name field is required.
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Last name field is required.
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Title field is required
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Email field is required
Email is invalid.
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Phone field is required
Phone number format should be (XXX) XXX-XXXX
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Invalid phone extension
Phone number format should be (XXX) XXX-XXXX
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Invalid phone extension
Company Information
Business/Primary Industry field is required
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TAX ID field is required
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Invalid format

Please enter your Federal Tax ID or BN # in the appropriate format: Federal Tax ID XX – XXXXXXX | BN# XXXXXXXXX | XXXXXXXXX XX XXXX

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Invalid date
In Business Since field is required
Years expected
# of Employees field is required
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Annual Sales Dollars field is required
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Business Type field is required
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Principal(s)/Owner(s)

Principal/Owner 1

First name field is required
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Last name field is required
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Title field is required
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Invalid format

Please enter your Social Insurance Number (SIN) in the appropriate format: XXX – XXX – XXX

Ownership % is required
Percent is invalid.

Residential Address of Principal/Owner

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Invalid format
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For US applicants, example 12345 or 12345-6789. For Canadian applicants, example A8A 8A8 or A8A 8A8 A8A.

Add Principal/Owner
Equipment
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Equipment Location

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Street number field is required.
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Street name field is required.
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City field is required
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Invalid format
Postal Code field is required
Value is too long

For US applicants, example 12345 or 12345-6789. For Canadian applicants, example A8A 8A8 or A8A 8A8 A8A.

Reason for Purchase is required
Reason for Purchase is required
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Business Credit Reference

Reference 1

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Invalid phone number
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Invalid phone extension
Email is invalid.
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Add Reference
Equipment Financing Information
Please select rent or own building.
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Equipment Sales Price is required
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Sales Tax is required
Down Payment is required
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Total to be Financed or Leased is required
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Lease/Loan Type is required
Days Until 1st Payment is required
Requested Monthly Term is required
Other Term is required
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Major Customers (Please list 5) This information is to show sales concentration so that we can better understand your business. We do not contact your customers.
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Number is invalid.
Percent is invalid.

Add Major Customer

Additional
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If available and applicable, please upload the Machine Quote or Sales Contract, Tax Exemption Certificate, and/or any other confidential documents relevant to this credit application. (File size limit: 3MB per file)
Remove
Digital Signature is required
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Title/Capacity is required
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Date is required
Date is invalid

THE UNDERSIGNED INDIVIDUAL(S) WHO IS EITHER A PRINCIPAL OR PERSONAL GUARANTOR OF THE CREDIT APPLICANT, RECOGNIZING THAT HIS OR HER INDIVIDUAL CREDIT HISTORY MAY BE A FACTOR IN THE EVALUATION OF THE CREDIT HISTORY OF THE APPLICANT OR IN THE EVALUATION OF HIS OR HER PERSONAL GUARANTY, IF APPLICABLE, HEREBY CONSENTS TO AND AUTHORIZES THE USE OF A CONSUMER CREDIT REPORT ON THE UNDERSIGNED INDIVIDUAL(S) BY THE ABOVE NAMED BUSINESS CREDIT GRANTOR AND ITS POTENTIAL AGENTS AND ASSIGNS, FROM TIME TO TIME AS MAY BE NEEDED, IN THE INITIAL CREDIT EVALUATION AND SUBSEQUENT REVIEW PROCESSES.

Principal Signature is required
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Title/Capacity is required
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Date is required
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Add Principal/Owner Electronic Signature

Mazak Customer Financing collects, uses and discloses personal information about the individual credit history of the principal, sole proprietor, or personal guarantor of the credit applicant, in order to evaluate the credit history of the applicant or to evaluate the individual’s personal guarantee. At any time during the application, and on an ongoing basis thereafter, the personal information provided may be used to: verify the information provided, assess your credit worthiness, obtain a consumer credit report (which may include a criminal background check), establish credit and hold limits, maintain our client relationship, and provide you with other products and services offered or approved by us, our affiliates, related entities or other third party financial partners.

In the course of providing credit financing services to you, we (and our third party service providers) may disclose your personal information to, and receive your personal information from: consumer reporting agencies, credit bureaus, collection agencies, your present and past financial institutions, business and trade references, vendors and customers, landlords and tenants, or any third parties who have information about your financial status,potential purchasers of our business and their advisors, and any third party service providers to whom we may outsource our business and credit functions including third party lenders from whom we obtain financing on your behalf. Mazak Customer Financing and its third party service providers are located in the United States and Canada, and while your personal information resides in the United States it may be accessible to law enforcement and other authorities pursuant to specific lawful requests for information.

By signing this form, you consent and authorize us to collect, use and disclose your personal information at any time during the application, and on an on-going basis thereafter in the initial credit evaluation and subsequent review process, for the foregoing purposes.

For Canadian individual principals, sole proprietors, or personal guarantors, you understand that the provision of your Social Insurance Number ("SIN") is optional and that the processing of your credit application is not conditional on providing you SIN. You understand that choosing not to provide your SIN is likely to increase the time required to process the credit application and may result in Mazak Customer Financing and its third party service providers not receiving current and accurate information about your credit rating.

For more information, see our Privacy Statement or contact us at (800) 668 5449 (for Canada only) or in USA the Toll Free Number: (877) 634-5521 or email us at financing@mazakcorp.com.

*Required Information