Credit Application - Equipment Leasing And Financing

Legal Business Name*
Time In Business Under Current Ownership*
Federal ID Number*
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type Of Ownership*
- Partnership
- Sole Proprietor
- LLC
- Corporation

Principal #1 information (Full Name): (100% Ownership declaration required. Principals listed will be required to guarantee lease.)
Principal #1 date of birth
Principal #1 Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Social Security Number*
Email

Principal #2 (only needed if more than 1 owner)
Principal #2 Date Of Birth
Title / % Ownership
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Social Security Number
Email

Equipment Vender Name / Address
Phone
Equipment Description
Equipment Cost (New or Used)
Where Will The Equipment Be Located
Term Requested
- 24 MOS
- 36 MOS
- 48 MOS
- 60 MOS
Purchase Option
- FMV / 10%
- $1.00
The undersigned individual who is either a principal, personal guarantor, or a sole proprietor 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, hereby consents and authorizes us or our designee the use of a consumer credit report on the undersigned, from time to time as may be needed, as well as the release of any and all information requested for the purpose of granting business credit. A photocopy of this release will act as an original. Date of birth is now requested by the Patriot Act.
Signature*
Title
Date*
MM slash DD slash YYYY
Document Upload
Max. file size: 256 MB.
Comments
This field is for validation purposes and should be left unchanged.

ABC EQUIPMENT AND VEHICLE FINANCING APPLICATION