Tyler Lion Tech Finance Application

Tyler Butsko, CLFP

Vice President
Lion Technology Finance

2677 N. Main Street #815

Santa Ana, CA 92705

Office: 949-594-3862

Cell: 949-610-9019

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Full Name *

Phone Number *

Complete Legal Name of Business Including Any Dba's

Company Structure *

Sole Prop
LLC
Non-Profits-Corp.
C-Corp
Partnership

Date of Birth

Email Address *

Date Business Started *

Mailing Address of Business *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Federal Tax ID#

OWNER/ STOCKHOLDER INFORMATION

Full Name *

Title *

Date of Birth

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

% Ownership *

Social Security

Type of Home

Rent
Own

Equipment Information

Vendor Name

Phone

Model Year (If Used)

Term Requested

24
36
48
60
Other

Contact

Approximate Cost

Type of Equipment

Age of Equipment

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Date *

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