Mazak Online Finance Application.

Thank you for completing the online financing application. A member of Mazak Capital Equipment Financing will be in contact with you regarding your application. Should you need to speak with a member of our team, please call (859) 342-1311 or send an email.

Mazak Online Finance Application Form

Please complete this form. A printable version is also available. Required fields are marked with an asterisk(*).

Company Contact Information
Value is too long
Company name field is required

Legal Address/HQ/Principally Managed

Value is too long
Street number field is required.
Value is too long
Street name field is required.
Value is too long
Value is too long
Value is too long
City field is required
Value is too long
Invalid format
Postal Code field is required

For US applicants, example 12345 or 12345-6789. For Canadian applicants, example A8A 8A8 or A8A 8A8 A8A.

Phone number format should be (XXX) XXX-XXXX
Value is too long
Phone field is required
Invalid phone extension
Value is too long
Fax number format should be (XXX) XXX-XXXX
Value is too long

Applicant Contact Information

Value is too long
First name field is required.
Value is too long
Last name field is required.
Value is too long
Title field is required
Email is invalid.
Value is too long
Email field is required
Phone number format should be (XXX) XXX-XXXX
Value is too long
Phone field is required
Invalid phone extension
Value is too long
Phone number format should be (XXX) XXX-XXXX
Value is too long
Invalid phone extension
Value is too long
Company Information
Value is too long
Business/Primary Industry field is required
Invalid format
Value is too long
TAX ID field is required

Please enter your Federal Tax ID or BN # in the appropriate format: Federal Tax ID XX – XXXXXXX | BN# XXXXXXXXX | XXXXXXXXX XX XXXX

Invalid date
Value is too long
Years expected
In Business Since field is required
# of Employees field is required
Value is too long
Value is too long
Value is too long
Value is too long
Value is too long
Value is too long
Annual Sales Dollars field is required
Value is too long
Value is too long
Value is too long
Value is too long
Business Type field is required
Value is too long
Principal(s)/Owner(s)

Principal/Owner 1

Value is too long
First name field is required
Value is too long
Value is too long
Last name field is required
Value is too long
Title field is required
Invalid format
Value is too long

Please enter your Social Security Number (SSN) in the appropriate format: XXX – XX – XXXX

Ownership % is required
Percent is invalid.

Residential Address of Principal/Owner

Value is too long
Value is too long
Value is too long
Value is too long
Value is too long
Value is too long
Invalid format

For US applicants, example 12345 or 12345-6789. For Canadian applicants, example A8A 8A8 or A8A 8A8 A8A.

Add Principal/Owner
Equipment
Value is too long
Value is too long

Equipment Location

-
-
Value is too long
Street number field is required.
Value is too long
Street name field is required.
Value is too long
Value is too long
Value is too long
City field is required
Value is too long
Postal Code field is required
Invalid format

For US applicants, example 12345 or 12345-6789. For Canadian applicants, example A8A 8A8 or A8A 8A8 A8A.

Reason for Purchase is required
Value is too long
Reason for Purchase is required
Business Credit Reference

Reference 1

Value is too long
Value is too long
Invalid phone number
Value is too long
Invalid phone extension
Value is too long
Email is invalid.
Value is too long
Add Reference
Equipment Financing Information
Please select rent or own building.
Value is too long
Value is too long
Equipment Sales Price is required
Value is too long
Value is too long
Sales Tax is required
Down Payment is required
Value is too long
Value is too long
Total to be Financed or Leased is required
Value is too long
Value is too long
Lease/Loan Type is required
Days Until 1st Payment is required
Requested Monthly Term is required
Value is too long
Other Term is required
Major Customers (Please list 5) This information is to show sales concentration so that we can better understand your business. We do not contact your customers.
Value is too long
Number is invalid.
Percent is invalid.

Add Major Customer

Additional
Value is too long
If available and applicable, please upload the Machine Quote or Sales Contract, Tax Exemption Certificate, and/or any other confidential documents relevant to this credit application. (File size limit: 3MB per file)
Remove
Value is too long
Digital Signature is required
Value is too long
Title/Capacity is required
Date is invalid
Date is required

THE UNDERSIGNED INDIVIDUAL(S) WHO IS EITHER A PRINCIPAL OR PERSONAL GUARANTOR OF THE CREDIT APPLICANT, RECOGNIZING THAT HIS OR HER INDIVIDUAL CREDIT HISTORY MAY BE A FACTOR IN THE EVALUATION OF THE CREDIT HISTORY OF THE APPLICANT OR IN THE EVALUATION OF HIS OR HER PERSONAL GUARANTY, IF APPLICABLE, HEREBY CONSENTS TO AND AUTHORIZES THE USE OF A CONSUMER CREDIT REPORT ON THE UNDERSIGNED INDIVIDUAL(S) BY THE ABOVE NAMED BUSINESS CREDIT GRANTOR AND ITS POTENTIAL AGENTS AND ASSIGNS, FROM TIME TO TIME AS MAY BE NEEDED, IN THE INITIAL CREDIT EVALUATION AND SUBSEQUENT REVIEW PROCESSES.

Value is too long
Principal Signature is required
Value is too long
Title/Capacity is required
Date is invalid
Date is required
Add Principal/Owner Electronic Signature

Notice to Credit Applicants: If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial if such statement is requested in writing within 60 days from the date you are notified of the denial decision. To obtain the statement, please contact us at Mazak Capital Equipment Financing, ATTN: MCC Department, P.O. Box 970, Florence, KY 41022-0970 or call 859-342-1311. We will send you a written statement of reasons for the denial within 30 days of receiving your request. Notice: In the U.S.A., 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, or age (provided the applicant has the capacity to enter into a binding contract); or 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 Trade Commission, Equal Credit Opportunity, Washington, D.C.

For Canadian transactions, this credit application is governed by the Personal Information and Electronic Documents Act, as promulgated by the Office of the Privacy Commissioner of Canada.

*Required Information