Broker Enrollment Form

Broker Information

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Funding Source References

Transaction Information

Additional Information

Which type of industry(s) do you primarily lease equipment to? (check all that apply): *
How did you learn about TEAM? *
Current Memberships: *
Are you able to pull credit reports? *
Have you ever been convicted of a crime? *

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Broker W9 Form

Broker W9 Form

Acceptance

Acceptance *
By checking the acceptance box, individual(s) (Brokers) provides instruction to TEAM Funding Solutions or its designee (and any nominee or potential assignee thereof) authorizing review of his/her personal consumer credit report from a consumer credit reporting agency. Such authorization shall extend to obtaining a consumer credit report in considering the application of the broker applicant and subsequently for the purpose of updating, renewing or the extension of such credit and for reviewing and/or collecting the resulting account, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent. In addition to authorizing review of my/our consumer credit report from any consumer credit reporting agency, the undersigned also authorizes my/our financial institutions and creditors to release credit information required by TEAM Funding Solutions or its designee (and any assignee or potential assignee thereof). BY checking the acceptance box above, I/we affirm our identity as the respective individuals identified in the related application. The undersigned states that all of the statements and information in the application provided are true and complete.