Application

Company Information
Company Name
Full Legal Name DBA
Address
Street Address City State ZIP Code
Mailing Address
Street Address City State ZIP Code
Phone
Include area code
Fax
Include area code
Cellphone
Include area code
Personal Information
Name

Last, First, Middle
Title Ownership %
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you own or rent your home property?
- Own
- Rent
Home Phone
Include area code
How did you hear about Whitfield Capital, LLC?
Have you ever factored before?
- Yes
- No
If "Yes", with what company and when?
Are you currently in bankruptcy?
- Yes
- No
If "Yes", what chapter and where?
Are there any tax liens or judgements against the company?
- Yes
- No
How much do you plan to factor per month?
Number of trucks?
Please list the type of freight you will be hauling:
I/We understand that the submission of an application for factoring with Whitfield Capital, LLC, does NOT mean that Whitfield Capital, LLC, will factor or provide any financial services whatsoever. I/We further understand that approval to factor may come ONLY after the Board of Directors of Whitfield Capital, LLC, approves the application, invoices, and accounts offered in accordance with Whitfield Captial, LLC's policies. The above statements are true and correct to the best of my knowledge and belief. by signing this doucment, I/We consent to and authorize whitfield Capital, LLC, to request and obtain any information or ducmentation necessary to process this application, including, but not limited to, any information needed to conduct a credit investigation
Name
First Last
Date
Name
First Last
Date

Company Information

Personal Information

Whitfield Capital Client Login

Freight Factoring Services

Our Fuel Program

Contact Us

Location

IFA