Online Application Form - Transportation Funding Group

Please review and complete the following form if you’re interested in factoring with our company. We’ll review your application, and get in touch with you shortly to discuss whether TFG is a good fit for factoring your company’s accounts receivable, and if we need anything in addition to what you’ve already submitted. Thanks for applying.

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Email:

Exact Company Name:*

Main Office Address:*

Phone Number*

Mailing Address (if different from above):

Branch Office Address (if applicable):

Date Business Established:*

Company Type (e.g., Corporation, LLC):*

Fiscal Year End:*

Affiliated Companies (if any):

Number of Trucks Owned:

Number of Owner Operators (if any):

Type of Operating Authority:

Common
Contract
Broker
Freight Forwarder

Please include copies of your Articles of Incorporation.*

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Please include copies of your company's two most recent year-end Federal tax statements.*

Insurance Information (Please include name, phone number, and address of BIPD insurance provider):*

Present A/R Balance:

Amount you plan to Factor (per month):*

Do you currently finance your accounts receivable?*

Yes
No

Please enter the Name/Address of all Carrier Owners and Owners' Spouses:

Has your company or any owner of the company ever declared bankruptcy?

Yes
No

If yes to the previous question, please explain:

Does your company, or any of its affiliates owe the IRS any past payroll or other tax from this or previous tax periods?

Yes
No

If you currently owe IRs back-taxes, please explain:

Is your company currently involved in any litigation or threat of litigation?

Yes
No

If you're involved in litigation or potential litigation, please explain:

I have read TFG's privacy policy and consent to the collection of my personal information.*

This Application form and all accompanying information requires the Applicant to disclose to Transportation Funding Group, Inc. (TFG) certain personal information, as that term is defined by the Personal Information Protection and Electronic Documents Act. TFG is collecting this personal information to evaluate whether Applicant meets TFG’s minimum standards for creditworthiness, and in order to determine whether TFG can provide lending services to Applicant on an ongoing basis. TFG acknowledges its continuing obligation to use Applicant’s personal information only for these purposes, and furthermore, that it will protect Applicant’s personal information in a manner appropriate to the sensitivity of the information, and may not disclose such information except as otherwise allowed by PIPEDA. Read our full privacy policy here.

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