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Print and Fax Application
Fax to 302-397-2050

AND

 

Equipment Lease "Credit Application"

Slow Credit and Start-Up Businesses Less Than 2 Years Old
Leases from $5,000 to $100,000 in All 50 States

  

Company Name/DBA
Company Type
Corporation Partnership
Proprietorship
Date Established
(Mo)  (Year)

/
Address
Description of Business
# Employees
City
State
Zip
Contact Name
Title
Phone
Fax
Email

Owner 1 Information

First Name
Initial
Last Name
Title
Social Security #
Address
City
State
Zip

Owner 2 Information

First Name
Initial
Last Name
Title
Social Security #
Address
City
State
Zip

Your Bank Information

Bank Name
Phone Number
Fax Number
Date Open
Contact
Account #1
Account #2

Your Trade References

Company Name
Phone Number
Fax Number
Date Open
Contact
Account #1
Account #2
Company Name
Phone Number
Fax Number
Date Open
Contact
Account #1
Account #2

 

Lease Amount $       Estimated Purchase Date

Requested Lease Term      Purchase Option

Description of Items

Comments

Vendor Company Name:_______________________________

Vendor Contact Name:_________________________________

Vendor Telephone:____________________________________


   

 

I understand that submission of this form, either physically or electronically, is my authorization to the listed references to release information concerning personal or company credit to EquipmentLeasingHotline.com and/or its assigns.

 

Signature: X________________________________________

Printed Name:______________________________________

Signature: X________________________________________

Printed Name:______________________________________

 

Fax This Equipment Lease Credit Application and the
following Documents to:

FAX:  302-397-2050

 

Documentation Requirements:

New Business Start-up (less than 2 years in business) Older Business with Previous Credit Issues
  • Completed Credit Application
  • Last Year's Personal Tax Return
  • Last Months' Business Bank Account Statement

 

 

 

 

 

 

 

 

  • Completed Credit Application
  • Last 3 Months Business Bank Statements
  • Year to Date Balance Sheet and Profit and Loss Statement
  • Last Year's Corporate Tax Return
  • Last Year's Personal Tax Return

 

 

 

 

 

 

 

 

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