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

Please complete and then submit the application below.  We will contact you the following business day and advise on the status of your submission.

If you would like to print out an application on your office/home printer to complete and the fax to us, select the PDF file/link below.
**Application to print**

Lease Application

Fields in "red" are the minimum amount of information needed in order to start your approval process.
You will be contacted if additional information is required.


Company Name

www.
          Company Web Site
   

Address
City
State
Zip Code
   

Phone
Fax
   

Federal ID		 Corporation                    Partnership

Proprietorship                 LLC

Years/months under current ownership		  
   

Contact Name
Contact e-mail
   
Information on Principles:  
   

Name
Title
Social Security #

Address
City
State
Zip
   
   

Name
Title
Social Security #

Address
City
State
Zip
   
Equipment Information:  
     

Description/type of Equipment
     

Cost

Condition:

 New
Used
Desired Term of Financing
     

Name of Business/Place you are purchasing from (if known at this time)
 
Bank Information:  
     

Primary Business Bank
Account #

Phone #
Officer		 Checking
Savings
     

Secondary Business Bank
Account #

Phone #
Officer		 Checking
Savings
     
Trade References:  
     

Company Name
Phone #

Contact Name
City/State		  
     

Company Name
Phone #

Contact Name
City/State		  
     

Company Name
Phone #

Contact Name
City/State		  
     

By submitting this on-line lease/finance application you, the listed "Contact Name" authorize The Leasing Experts and/or it's assignees to obtain information concerning the statements and/or accounts contained within this application

 

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