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Lease Application
Type Of Equipment (Please describe Type and Use):
Equipment Cost:
Desired Term:
12 24 36 48 60
Expected Delivery Date:
Application Information
Business Legal Name (and DBA if applicable):
Street Address:
City:
State and Zip Code:
Telephone:
Email:
Principal Contact:
Type of Business:
Federal Tax ID Number:
Type of Legal Entity:
Corporation
Partnership
Proprietorship
LLC/LLP
Years In Business:
Equipment Vendor Information
Vendor Name:
Vendor Contact:
Vendor Phone Number:
Personal Information On Officers, Partners, Principals
Officer One
Name and Title:
Percent Ownership and SSN:
Home Address, City, State, Zip:
Home Phone Number:
Officer Two
Officer Three
Bank Information
Name of Bank:
Contact Name and Phone:
Account Number:
Any Other Comments and Additional Information
I/We for ourselves and as owner(s)/officer(s)/partner(s)/guarantor(s) of the Applicant certify to Capital Finance that all of the information set forth in this Application (and in any other documents submitted in connection with this Application) may be relied upon by Capital Finance as being true and correct.
I/We agree to promptly notify Capital Finance of any changes.
I/We understand that this Application and attachments will remain the property of Capital Finance, even if the lease is declined.
I/We for ourselves and as owner(s)/officer(s)partner(s)/guarantor(s) of the Applicant authorize Capital Finance to obtain any information Capital Finance requires relating to my/our creditworthiness from any source, including a credit reporting agency, any time during the term of the lease or while any balance is outstanding or if Capital Finance updates, renews or extends this lease.
I/We for ourselves and as owner(s), officer(s), partner(s), guarantor(s) of the Applicant certify that the proceeds of this lease, if approved, will be for business use only.
Agree To Terms: Yes No
