Lease Credit Application

 

Thank you for selecting The Leasing Experts as a funding solution for your coming equipment acquisition.

 

Please complete and submit the application below. We will contact you the following business day and advise on the status of your submission. Or if you prefer you can Download a .PDF Application Here and fax it to us.

 

The Leasing Experts, Inc.

CORPORATE OFFICES
9710 East Indigo Street, Suite 203, Miami, Florida 33157
Toll Free Phone (800) 700-0657 | Toll Free Fax (888) 777-LEASE

 

* Required

Business Information
Rep Name
 Complete Legal Name of Business and d/b/a (if any) *
Business Phone Number *
 Business Fax Number
 Current Year's
Gross Sales *
 State of
Incorporation *
Type of Business Entity *
Partnership Sole Proprietor
Non-Profit LLC
Contact Person *
Email of Contact / Business
Type / Nature of Business *
 Yrs Under Current Ownership *
 Federal Tax Id Number
Business Address *
 City *
 State *
 ZIP *
Principle / Owner Information
Name *
 Title *
 % of Ownership *
 SSN *
Street Address *
City *
 State *
 ZIP *
Cell Phone Number *
 Alt Phone Number
   
Name
 Title
 % of Ownership
 SSN
Street Address

 City
 State
 ZIP
Cell Phone Number
 Alt Phone Number
    
Bank Information
Bank Name *
 Business Checking Account Number *
Name of Contact
 Phone Number
Equipment Information
Supplier Name
(If unknown,enter UNKNOWN) *
 Phone #
 Equipment Description *
Equipment Cost (Aprox.) *

Equipment Condition

Desired Term / Months


NOTE: By clicking Submit, each undersigned individual(s), who is either a principle of the credit applicant listed above or a personal guarantor of its obligations, provides written instruction to the leasing experts, inc. or its designee authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update renewal or extension of such credit and for reviewing or collecting the resulting account. a photocopy or facsimile copy of this authorization shall be as valid as the original. in addition, the undersigned authorizes financial institutions and creditors the right to release by telephone or fax all credit information requested.

       

Worried about sending this information over the internet? The Leasing Experts is committed to the security of the customers with whom we do business. For that reason, we use Secure Sockets Layer (SSL) encryption to conduct all online transactions. SSL is an encryption protocol that provides confidentiality and integrity for all communications between customers and the The Leasing Experts site. Look for the SSL Certificatelock on the bottom of your browser to verify this form is secure.