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Freight Factoring Application

Please fill out the form below or download it in PDF form.













Sole ProprietorshipPartnershipLLCCorporation





Desired Amount to Factor:


YesNo
YesNo

YesNo
Company Owners/Officers:







The foregoing information is true and correct to the best of my knowledge and is given to induce Phoenix Capital Group, LLC to consider entering into a factoring agreement with this company. I/We grant Phoenix Capital Group, LLC or its agents the right
to file a UCC-1 Financing Statement listing all assets as the collateral description to secure any obligation of applicant to Phoenix Capital Group, LLC, including without limitation, the reimbursement of any costs incurred as a result of applicants dissolution or cancellation of contract prior to first funding. I hereby authorize Phoenix Capital Group, LLC or its agents to verify and investigate
any or all of the foregoing statements, including but not limited to my/our credit worthiness and financial responsibility, in any way they may choose. I/We grant Phoenix Capital Group, LLC the right to procure any and all credit reports pertaining to any party listed in this application, including but not limited to, all principals of the company.

Agreed and consented to