Leasing Resources

Step 1 of 3
Fill out the form below and click "Submit Application." Items with a red "*" are required.

Transaction Information

^* Loan or Lease? Equipment

Loan
Lease

^* Lease Type?

Full Pay-Out
Percentage Buy-Out

^* Amount to be financed:
(before tax)

^* Term Requested:

months

^* New or used equipment?

New

Used

^* Has this equipment been shipped yet?

Yes

^* Equipment Description:

^* Vendor Name:

^* Branch No:

^* Contact Name:

^* Contact Phone:

Ext:

^* Contact Fax:

^* Contact Email:

Additional Company Information

^* What is the legal structure of your Business?

^* Describe the services your firm provides:

^* The year the company started:
^* Under present control for how long?: (in years)
^* Number of employees:
^* Federal I.D Number

^* How many principals are there in your firm?

^* 1. Name of principal of your firm
^* % Ownership
^* Street Address
^* City
^* State/Province:
^* Zip/Postal:
^* SSN/SIN

If more than 1 principal, please complete:
2. Name of principal of your firm
% Ownership
Street Address
City
State/Province:
Zip/Postal:
SSN/SIN

Bank References

^* Name of your Firm's bank:
^* Bank contact name:
^* Contact's Phone number:	Ext:
^* Contact's Fax number:
^* Contact's Email:
^* How long has your firm banked there? years
^* Your firm's account numbers: ^* 1. ^* 2.