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EQUIPMENT LEASE APPLICATION
Business Name
Phone
Fax
Contact Name
Phone
Fax
Address (incl. City/State/Zip)
County
Email Address
Nature of Business
Years in Business
Tax ID
Location of Equipment
(incl. City/State/Zip)
TYPE OF BUSINESS
Proprietorship
Partnership
Corporation
Principal's Legal Name
Title
DOB
SSN
Home Phone
% of Ownership
Home Address (incl. City/State/Zip)
PLEASE LIST ALL CHECKING, SAVINGS, LOANS AND CDS
1.
Account Type
Account
Bank Name
Branch
Branch Officer
Phone
2.
Account Type
Account
Bank Name
Branch
Branch Officer
Phone
PLEASE LIST SIGNIFICANT TRADE REFERENCES
Company Name
Contact/ACCT
Phone
Company Name
Contact/ACCT
Phone
Company Name
Contact/ACCT
Phone
EQUIPMENT TO BE LEASED (INT100)
Equipment Vendor
Expected Delivery Date
Vendor Address (incl. City/State/Zip)
Vendor Contact
Phone
Equipment Cost
Equipment Type
Desired Term
Insurance Company
Agent Name
Phone
The undersigned certifies that all credit and financial information submitted is true and correct and authorizes Global Funding, LLC, (Equipment Leasing Company) or its assignees, to investigate Lessee’s credit worthiness and disclose information and investigation results to each other. The undersigned authorizes all parties contacted to release credit and financial information requested as part of said investigation. All duplicates are to be viewed as valid as the original.
Date
Applicant Signature
Title
Date
Applicant Signature
Title
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701 Hercules Ave, N, Suite E,
Clearwater, Florida 33765
PH - 727-669-5590
FAX - 877-310-5044
info@cc-farmanews.com
All contents © copyright 1999-2007 Global Funding LLC , All rights reserved.
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Global Funding, Equipment Vendors, Equipment Leasing Company, Equipment Leasing Solutions, Commercial Equipment, Medical Equipment, Industrial Equipment Leasing