Fillable Equipment Lease Application printable pdf download

Equipment Lease Application

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Complete Equipment Lease Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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Equipment Lease Application

Please send completed application via e-mail to

or fax to 203.549.0476

Customer Information

Business Legal Name:

DBA Name (if any):

Street Address:

Federal Tax ID:

City/State/Zip Code:

Date Business Started:

Phone:

Fax:

E-Mail:

Corporation

Limited Liability Company (LLC)

Partnership

Sole Proprietorship

Other:

Bank Name:

Checking Account #:

Phone #:

Contact Name:

Principal Information

Principal Name(s), Title(s):

Home Address:

City/State/Zip Code:

% Ownership:

Social Security #:

Signature:

Credit Release

lender or any other lending sources to obtain information from the references listed below and obtain a consumer credit report that will be ongoing and relate not only

to the evaluation and/or extension of the business credit requested, but also for purposes of reviewing the account, increasing the credit line, taking collection action

on the account and for any other legitimate purpose associated with the account as needed. Each individual signing as principal further waives any right or claim which

such individual would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.

Lease/Loan References

Name of Reference:

City/State

Phone

Contact

Account #

Equipment Information

Vendor:

Vendor Contact Name & Phone:

Equipment Description:

Equipment Cost: