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Securities Loan Request
Need a Fast Approval? Please Complete the Express Loan Quote Form Below
Securities Loan Request
Loan Rquest Terms and Disclosures
: By submitting this inquiry form you are agreeing that you understand that US Best Capital Partners is a loan facilitation firm and is not a party to your final loan contract. You recognize that
US Best Capital Partners
has not and will not solicit you to buy or sell securities, nor will any of its staff dispense financial planning or tax advice of any kind. You are understanding and agreeing that
US Best Capital Partners
is not a member of the SIPC nor holding itself out as an SIPC member. You warrant that neither
US Best Capital Partners
nor its staff or employees have provided any form of investment or securities advice whatsoever and that the responsibility for proceeding or not proceeding with any future securities-based loan through this facility will rest entirely with you and/or the borrower and will be based on the content and terms of your final loan contract only. You further understand that
US Best Capital Partners
is not a hedge fund, and does not through this website or any of its business activities solicit for any form of contribution or investment to any fund in any manner. You warrant that any loan facility introduced through this website will not be used as an illegal tax shelter, and that all tax obligations, should they exist, will be paid as due per applicable IRS and SEC regulation.
Once we have received your Loan Request Form, w
e will be in contact with you to discuss your request.
All responses are held in strict confidence in accordance with U.S. privacy policy standards.
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:
(5 digits)
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Daytime Phone:
Email:
Best Time to Contact You?:
Purpose of Loan::
Desired
Loan Amount:
List Names of all Securities being pledged with stock symbol numbers.
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