<style><!-- [et_pb_line_break_holder] -->a.lease_application {<!-- [et_pb_line_break_holder] --> display: block;<!-- [et_pb_line_break_holder] --> width: 350px;<!-- [et_pb_line_break_holder] --> margin: auto;<!-- [et_pb_line_break_holder] --> text-align: center;<!-- [et_pb_line_break_holder] --> background: red;<!-- [et_pb_line_break_holder] --> padding: 20px;<!-- [et_pb_line_break_holder] --> border-radius: 4px;<!-- [et_pb_line_break_holder] --> color: #fff;<!-- [et_pb_line_break_holder] --> font-size: 14px;<!-- [et_pb_line_break_holder] --> margin-bottom: 40px;<!-- [et_pb_line_break_holder] --> box-shadow: 0px 0px 10px #c5bebe;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.tax-submit {<!-- [et_pb_line_break_holder] --> background: red!important;<!-- [et_pb_line_break_holder] --> color: #fff!important;<!-- [et_pb_line_break_holder] --> text-transform: uppercase;<!-- [et_pb_line_break_holder] --> border: none!important;<!-- [et_pb_line_break_holder] --> width: 160px;<!-- [et_pb_line_break_holder] --> height: 45px!important;<!-- [et_pb_line_break_holder] --> text-align: center!important;<!-- [et_pb_line_break_holder] --> line-height: 45px!important;<!-- [et_pb_line_break_holder] --> margin: 0!important;<!-- [et_pb_line_break_holder] --> padding: 0!important;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><div class="main-btm" style="border: 1px solid #ddd; margin-bottom: 25px; margin-top:25px; "><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- <div class="img-wrap"> --><!-- [et_pb_line_break_holder] --> <img width="100%" src="https://broadwayfurnituregroup.com/wp-content/uploads//2018/09/as.jpg"> <!-- [et_pb_line_break_holder] --> <!-- </div> --><!-- [et_pb_line_break_holder] --><!--<h1 style="text-align: center;font-weight: 700; margin-top:24px">OFFICE FURNITURE TAX BENEFITS AND FINANCING</h1>--><!-- [et_pb_line_break_holder] --> <br/><!-- [et_pb_line_break_holder] --> <h3 style="text-align: center;font-weight: 400;font-size: 19px;margin-top: 30px;padding: 0px 0px 0px 0px; ">TAX BENEFITS </h3><!-- [et_pb_line_break_holder] --> <p style="text-align: center;font-weight: 600;color: red;font-size: 18px;"><!-- [et_pb_line_break_holder] --> Save upto 35% on your office furniture purchase<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <div class="bottom-content"><!-- [et_pb_line_break_holder] --> <article><!-- [et_pb_line_break_holder] --> <h3>Section 179 Deduction</h3><!-- [et_pb_line_break_holder] --> <p><!-- [et_pb_line_break_holder] --> As part of the IRS Tax Code, Section 179 allows businesses to deduct the full purchase price of certain assets financed or leased and put into service during 2018.* Accelerating depreciation rather than spreading the deduction over the item’s useful life provides a larger tax deduction.<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <ul><!-- [et_pb_line_break_holder] --> <li>This covers new and used office furniture, equipment and software. </li><!-- [et_pb_line_break_holder] --> <li>Maximum deduction limit for 2018 is $1,000,000 </li><!-- [et_pb_line_break_holder] --> </ul><!-- [et_pb_line_break_holder] --> </article><!-- [et_pb_line_break_holder] --> <article><!-- [et_pb_line_break_holder] --> <h3>TIME IS RUNNING OUT</h3><!-- [et_pb_line_break_holder] --> <p><!-- [et_pb_line_break_holder] --> If you are considering acquiring new or pre-owned office furniture or glass walls systems in the near future this deduction could have a significant impact on the effective after tax cost of the furniture if you utilize Section 179. <!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <h4 style="text-align:left; color: #000; margin-top: 24px; ">2018 Section 179</h4><!-- [et_pb_line_break_holder] --> <table class="table"><!-- [et_pb_line_break_holder] --> <thead><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="col" style="color: #fff; ">Furniture Cost:</th><!-- [et_pb_line_break_holder] --> <th scope="col" style="color: #fff; ">$100,000</th><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </thead><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" >Section 179 Expense Deduction:<br /> Effective Tax Bracket:</th><!-- [et_pb_line_break_holder] --> <td>$100,000<br /> 35%</td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row">Total First Year Section 179 Deduction:</th><!-- [et_pb_line_break_holder] --> <td>$100,000</td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row">Tax Savings From Use of Section 179:</th><!-- [et_pb_line_break_holder] --> <td>$35,000</td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row"><strong>Net Cost After Section 179 Savings:</strong></th><!-- [et_pb_line_break_holder] --> <td><strong>$65,000</strong></td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <p><!-- [et_pb_line_break_holder] --> Section 179 significantly reduces the effective after tax acquisition cost of new or pre-owned office furniture.<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <p style="text-align: center; font-size: 26px; padding-bottom: 0; font-weight: 900; "><!-- [et_pb_line_break_holder] --> <span style="color: red; ">BUY NOW</span> <span>– PAY LATER!</span><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <a class="lease_application" href="#">CLICK HERE FOR LEASING APPLICATION</a><!-- [et_pb_line_break_holder] --> <h1 style="text-align: center; font-weight: 700; ">Lease Your Office Furniture</h1><!-- [et_pb_line_break_holder] --> <h3 style="text-align: center; font-size: 21px;">MOVE YOUR BUSINESS FORWARD</h3><!-- [et_pb_line_break_holder] --> <p>The ability to leverage purchasing power makes leasing a viable option for business of all types. </p><!-- [et_pb_line_break_holder] --> <h5 style="font-size: 18px; font-weight: 700; ">FINANCING BENEFITS:</h5><!-- [et_pb_line_break_holder] --> <ul style="font-size: 14px; "><!-- [et_pb_line_break_holder] --> <li>All costs can be included in the financing, including delivery and setup charges</li><!-- [et_pb_line_break_holder] --> <li>Tax advantages, including Section 179 accelerated depreciation</li><!-- [et_pb_line_break_holder] --> <li>Convenient 100% financing </li><!-- [et_pb_line_break_holder] --> <li>Maintain budgetary integrity</li><!-- [et_pb_line_break_holder] --> <li>Conservation of liquidity and existing debt facilities</li><!-- [et_pb_line_break_holder] --> <li>Hedge against inflation</li><!-- [et_pb_line_break_holder] --> <li>Quick credit decisions</li><!-- [et_pb_line_break_holder] --> <li>Upgrade and easy add-on provisions allow for future hassle-free expansion</li><!-- [et_pb_line_break_holder] --> <li>Provide supplier deposit payments </li><!-- [et_pb_line_break_holder] --> </ul><!-- [et_pb_line_break_holder] --> </article><!-- [et_pb_line_break_holder] --> <article class="details-contact"style="text-align: center; "> <!-- [et_pb_line_break_holder] --> <img src="https://broadwayfurnituregroup.com/wp-content/uploads/2018/07/Logo-Header.jpg" class="img-responsive" style="margin: auto; " /><!-- [et_pb_line_break_holder] --> <p>Address: 260 West 36th Street, 9th Floor, New York, NY 10018</p><!-- [et_pb_line_break_holder] --><p> Call us at 212-216-9220 or Email: <a href="mailto:sales@BroadwayOfficeFurniture.com" style="color: red; ">sales@BroadwayOfficeFurniture.com</a></p><!-- [et_pb_line_break_holder] --> </article><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="main-btm"><!-- [et_pb_line_break_holder] --><div class="bottom-content" style="padding:0px;"><!-- [et_pb_line_break_holder] --> <div class="credit-application" style="text-align: left; "><!-- [et_pb_line_break_holder] --> <h2 style="text-align: center; margin-bottom: 20px; font-weight: 400; ">Univest Capital, Inc. Quick Credit Application</h2><!-- [et_pb_line_break_holder] --> <form method="post" class="taxform"><!-- [et_pb_line_break_holder] --> <table class="table" style="border: 2px solid #000;margin-bottom: 0; border-bottom: 0; "><!-- [et_pb_line_break_holder] --> <thead style="background-color: #bababa; "><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="col" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <p style="margin: 0; font-size: 20px; "><!-- [et_pb_line_break_holder] --> Business<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <th scope="col" style="border-left: 1px solid #000 !important; border-color: #000;"><!-- [et_pb_line_break_holder] --> <p style="margin: 0; font-size: 20px;"><!-- [et_pb_line_break_holder] --> Supplier<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </thead><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000;"><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="name">Name:</label><input type="text" class="form-control" id="name" name="businessname" aria-describedby="name" placeholder="" style="background-image: url("data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAABHklEQVQ4EaVTO26DQBD1ohQWaS2lg9JybZ+AK7hNwx2oIoVf4UPQ0Lj1FdKktevIpel8AKNUkDcWMxpgSaIEaTVv3sx7uztiTdu2s/98DywOw3Dued4Who/M2aIx5lZV1aEsy0+qiwHELyi+Ytl0PQ69SxAxkWIA4RMRTdNsKE59juMcuZd6xIAFeZ6fGCdJ8kY4y7KAuTRNGd7jyEBXsdOPE3a0QGPsniOnnYMO67LgSQN9T41F2QGrQRRFCwyzoIF2qyBuKKbcOgPXdVeY9rMWgNsjf9ccYesJhk3f5dYT1HX9gR0LLQR30TnjkUEcx2uIuS4RnI+aj6sJR0AM8AaumPaM/rRehyWhXqbFAA9kh3/8/NvHxAYGAsZ/il8IalkCLBfNVAAAAABJRU5ErkJggg=="); background-repeat: no-repeat; background-attachment: scroll; background-size: 16px 18px; background-position: 98% 50%; cursor: pointer;"/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="name">Name:</label><input type="text" class="form-control" id="name" name="suppliername" aria-describedby="name" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="address">Address:</label><input type="text" class="form-control" id="address" name="businessaddress" aria-describedby="address" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="address">Address:</label><input type="text" class="form-control" id="address" name="supplieraddress" aria-describedby="address" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="city-state-zip"><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000;"><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="City">City:</label><input type="text" class="form-control" id="City" name="businesscity" aria-describedby="City" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 60%); padding: 0 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="State">State:</label><input type="text" class="form-control" id="State" name="businessstate" aria-describedby="State" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 80%); "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Zip">Zip:</label><input type="text" class="form-control" id="Zip" name="businesszip" aria-describedby="Zip" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="City">City:</label><input type="text" class="form-control" id="City" name="suppliercity" aria-describedby="City" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 60%); padding: 0 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="State">State:</label><input type="text" class="form-control" id="State" name="supplierstate" aria-describedby="State" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 80%); "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Zip">Zip:</label><input type="text" class="form-control" id="Zip" name="supplierzip" aria-describedby="Zip" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="phone-fax"><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Phone">Phone Number:</label><input type="text" class="form-control" id="Phone" name="businessphone" aria-describedby="Phone" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Fax">Fax Number:</label><input type="text" class="form-control" id="Fax" name="businessfax" aria-describedby="Fax" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Phone">Phone Number:</label><input type="text" class="form-control" id="Phone" name="supplierphone" aria-describedby="Phone" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Contact">Contact Person:</label><input type="text" class="form-control" id="Contact" name="businesscontact" aria-describedby="Contact" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Fax">Fax Number:</label><input type="text" class="form-control" id="Fax" name="supplierfax" aria-describedby="Fax" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Title">Title:</label><input type="text" class="form-control" id="Title" name="businesstitle" aria-describedby="Title" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Sales">Sales Representative:</label><input type="text" class="form-control" id="Sales" name="suppliersales" aria-describedby="Sales" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000;"><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Email">Email:</label><input type="email" class="form-control" id="Email" name="businessemail" aria-describedby="Email" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td class="terms" style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <label style="width:100%;">Term:</label><!-- [et_pb_line_break_holder] --> <table width="100%" style="margin-top: 10px; "><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="12months" aria-describedby="12months" placeholder="" name="supplier12months" style="transform: translateY(2px);"/><label for="12months">12 months</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="18months" aria-describedby="18months" placeholder="" name="supplier18months" style="transform: translateY(2px);"/><label for="18months">18 months</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="24months" aria-describedby="24months" placeholder="" name="supplier24months" style="transform: translateY(2px);"/><label for="24months">24 months</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="36months" aria-describedby="36months" placeholder="" name="supplier36months" style="transform: translateY(2px);"/><label for="36months">36 months</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="48months" aria-describedby="48months" placeholder="" name="supplier48months" style="transform: translateY(2px);"/><label for="48months">48 months</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="60months" aria-describedby="60months" placeholder="" name="supplier60months" style="transform: translateY(2px);"/><label for="60months">60 months</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="phone-fax"><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000;"><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Cell">Cell Number:</label><input type="text" class="form-control" id="Cell" name="businesscell" aria-describedby="Cell" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="TaxID">Tax I.D. Number:</label><input type="text" class="form-control" id="TaxID" name="businesstaxid" aria-describedby="TaxID" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td class="terms" style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <label style="width:100%;">Number of Advance Payments:</label><!-- [et_pb_line_break_holder] --> <table width="100%" style="margin-top: 10px; "><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="zero" aria-describedby="zero" placeholder="" name="supplierzero" style="transform: translateY(2px);"/><label for="zero">0</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="one" aria-describedby="one" placeholder="" name="supplierone" style="transform: translateY(2px);"/><label for="one">1</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="two" aria-describedby="two" placeholder="" name="suppliertwo" style="transform: translateY(2px);"/><label for="two">2</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="phone-fax"><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <label style="width:100%;"></label><!-- [et_pb_line_break_holder] --> <table width="100%" style="margin-top: 10px; "><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="Corporation" aria-describedby="Corporation" name="businesscorporation" placeholder="" style="transform: translateY(2px);"/><label for="Corporation">Corporation</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="Partnership" aria-describedby="Partnership" name="businesspartnership" placeholder="" style="transform: translateY(2px);"/><label for="Partnership">Partnership</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="LLC" aria-describedby="LLC" placeholder="" name="businessLLC" style="transform: translateY(2px);"/><label for="LLC">LLC</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="Proprietorship" aria-describedby="Proprietorship" name="businessproprietorship" placeholder="" style="transform: translateY(2px);"/><label for="Proprietorship">Proprietorship</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td class="terms" style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <label style="width:100%;">End of Term Purchase Option:</label><!-- [et_pb_line_break_holder] --> <table width="100%" style="margin-top: 10px; "><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="BO" aria-describedby="BO" placeholder="" name="supplierBO" style="transform: translateY(2px);"/><label for="BO">$1.00 BO </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="PUT" aria-describedby="PUT" placeholder="" name="supplierPUT" style="transform: translateY(2px);"/><label for="PUT">10% PUT</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="FMV" aria-describedby="FMV" placeholder="" name="supplierFMV" style="transform: translateY(2px);"/><label for="FMV">FMV</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="EFA" aria-describedby="EFA" placeholder="" name="supplierEFA" style="transform: translateY(2px);"/><label for="EFA">EFA</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="phone-fax"><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Yearsofbusiness">Years in Business:</label><input type="text" class="form-control" id="Yearsofbusiness" name="Yearsofbusiness" aria-describedby="Yearsofbusiness" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="DateIncorporated">Date Incorporated:</label><input type="text" class="form-control" id="DateIncorporated" name="DateIncorporated" aria-describedby="DateIncorporated" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td class="terms" style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <label style="width:100%;">Program:</label><!-- [et_pb_line_break_holder] --> <table width="100%" style="margin-top: 10px; "><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="Standard" aria-describedby="Standard" placeholder="" name="supplierStandard" style="transform: translateY(2px);"/><label for="Standard">Standard </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="Deferred" aria-describedby="Deferred" placeholder="" name="supplierDeferred" style="transform: translateY(2px);"/><label for="Deferred">90 Day Deferred </label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <input type="checkbox" id="StepPayments" aria-describedby="StepPayments" name="supplierStepPayments" placeholder="" style="transform: translateY(2px);"/><label for="StepPayments">Step Payments</label><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <table class="table" style="border: 2px solid #000; margin-bottom: 0; border-bottom: 0; "><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="border: none; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Equipment"><strong style="font-size: 14px; ">Equipment Description</strong> (if you have a sales quote or invoice from the supplier, please fax it along with this application) </label><input type="text" class="form-control" id="Equipment" name="businessEquipment" aria-describedby="Equipment" placeholder="" style="height:70px;"/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border: none; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Cost" style="font-size: 14px; ">Cost ($):</label><input type="text" class="form-control" id="Cost" name="supplierCost" aria-describedby="Cost" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <table class="table" style="border: 2px solid #000;margin-bottom: 0; border-bottom: 0; "><!-- [et_pb_line_break_holder] --> <thead style="background-color: #bababa; "><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th colspan="2" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <p style="margin: 0; font-size: 20px; "><!-- [et_pb_line_break_holder] --> Owner Information <!-- [et_pb_line_break_holder] --> <em style="font-size: 12px; ">Personal Credit - Officers/Partners (if more than two, copy page and complete for each)</em><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </thead><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="name">Name(1):</label><input type="text" class="form-control" id="name" name="owner1name" aria-describedby="name" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="name">Name(2):</label><input type="text" class="form-control" id="name" name="owner2name" aria-describedby="name" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="address">Address:</label><input type="text" class="form-control" id="address" name="owner1address" aria-describedby="address" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000;"><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="address">Address:</label><input type="text" class="form-control" id="address" name="owner2address" aria-describedby="address" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="city-state-zip"><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="City">City:</label><input type="text" class="form-control" id="City" name="owner1city" aria-describedby="City" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 60%); padding: 0 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="State">State:</label><input type="text" class="form-control" id="State" name="owner1state" aria-describedby="State" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 80%); "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Zip">Zip:</label><input type="text" class="form-control" id="Zip" name="owner1zip" aria-describedby="Zip" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="City">City:</label><input type="text" class="form-control" id="City" name="owner2zip" aria-describedby="City" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 60%); padding: 0 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="State">State:</label><input type="text" class="form-control" id="State" name="owner2state" aria-describedby="State" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td style="width: calc(100% - 80%); "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Zip">Zip:</label><input type="text" class="form-control" id="Zip" name="owner2zip" aria-describedby="Zip" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="HomePhoneNumber">Home Phone Number:</label><input type="text" class="form-control" id="HomePhoneNumber" name="owner1homephonenumber" aria-describedby="HomePhoneNumber" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="HomePhoneNumber2">Home Phone Number:</label><input type="text" class="form-control" id="HomePhoneNumber2" name="owner2homephonenumber" aria-describedby="HomePhoneNumber2" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style=" border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="SocialSecurityNumber">Social Security Number:</label><input type="text" class="form-control" id="SocialSecurityNumber" name="owner1SocialSecurityNumber" aria-describedby="SocialSecurityNumber" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border-color: #000;"><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="SocialSecurityNumber2">Social Security Number:</label><input type="text" class="form-control" id="SocialSecurityNumber2" name="owner2SocialSecurityNumber" aria-describedby="SocialSecurityNumber2" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> <table class="table" style="border: 2px solid #000;margin-bottom: 0; "><!-- [et_pb_line_break_holder] --> <thead style="background-color: #bababa; "><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th colspan="2" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <p style="margin: 0; font-size: 20px; "><!-- [et_pb_line_break_holder] --> Signatures<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </thead><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th colspan="2" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <p><!-- [et_pb_line_break_holder] --> Applicant hereby authorizes the release of credit information to our company, or its designee(and any assignee or potential assignee thereof) from any source including credit bureau reporting agencies and applicant’ s bank.If Personal information is provided, by signing below, the undersigned individual(s), provides written instruction to our Univest Capital, Inc., or its designee(and any assignee or potential assignee thereof) authorizing review of his / her personal credit profile from a national credit bureau.I hereby represent that all of the information contained in this credit application is true, correct and complete.<!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Signature1">Signature (1):</label><input type="text" class="form-control" id="Signature1" name="owner1Signature" aria-describedby="Signature1" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td style="border-left: 1px solid #000 !important; border: none; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Signature2">Signature (2):</label><input type="text" class="form-control" id="Signature2" name="owner2Signature" aria-describedby="Signature2" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr class="phone-fax"><!-- [et_pb_line_break_holder] --> <th scope="row" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="PrintName1">Print Name:</label><input type="text" class="form-control" id="PrintName1" name="owner1PrintName" aria-describedby="PrintName1" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Date2">Date:</label><input type="text" class="form-control" id="Date2" name="owner1Date" aria-describedby="Date2" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </th><!-- [et_pb_line_break_holder] --> <td scope="row" style="border-color: #000; border-left: 1px solid #000 !important;"><!-- [et_pb_line_break_holder] --> <table width="100%"><!-- [et_pb_line_break_holder] --> <tbody><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td style="padding-right: 5px; "><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="PrintName2">Print Name</label><input type="text" class="form-control" id="owner2PrintName" name="owner2PrintName" aria-describedby="PrintName2" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <div><!-- [et_pb_line_break_holder] --> <label for="Date3">Date:</label><input type="text" class="form-control" id="Date3" name="owner2Date" aria-describedby="Date3" placeholder=""/><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td colspan="2" style="border-color: #000; "><!-- [et_pb_line_break_holder] --> <p>The signer(s) acknowledge(s) and understand that our company is relying on this information provided herein in deciding to grant or continue credit or to accept a guarantee thereof. Each of the signers represents, warrants and certifies that the information provided herein is true, correct and complete and agrees to notify our company immediately of any changes to this information. <!-- [et_pb_line_break_holder] --> <br/><!-- [et_pb_line_break_holder] --> <strong>NOTICE:</strong> The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided that the applicant has the capacity to enter into a binding contract): because all or part of the applicant’s income derives from any public assistance program: or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Reserve Consumer Help Center, PO Box 1200, Minneapolis, MN 55480.</p><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td><input type="submit" name="submit" value="submit" class="tax-submit"/></td><td><div id="returnmessage"></div></td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </tbody><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><script><!-- [et_pb_line_break_holder] -->jQuery(document).ready(function(){<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->jQuery( ".taxform" ).submit(function( event ) {<!-- [et_pb_line_break_holder] -->event.preventDefault();<!-- [et_pb_line_break_holder] -->//var data = jQuery(this)<!-- [et_pb_line_break_holder] -->console.log(jQuery(this))<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> jQuery.ajax({ url:'https://www.cordcomtechnologies.com/broadwaytaxform/taxfomsend.php',<!-- [et_pb_line_break_holder] -->type:'POST', data:jQuery(this).serialize(),<!-- [et_pb_line_break_holder] --> success:function(result){<!-- [et_pb_line_break_holder] --> jQuery('#returnmessage').html("It can just say submission Successful!. A customer service representative will be contacting you shortly");<!-- [et_pb_line_break_holder] -->console.log(result)<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> });<!-- [et_pb_line_break_holder] -->})<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->});<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></script>