Call: 1-888-LDS-3100

Commercial Lease Application

Applicant Business Information

Company Legal Name *

Telephone *

Fax

Contact Name

Email *

Business Form (e.g., Proprietorship, Partnership, Corporation, LLC)

Web Site

Date Incorporated

Years in Business

Nature of Business

Federal Tax ID

Billing Address

Street

City

State

Zip Code

County

Delivery Address

Street

City

State

Zip Code

County

Guarantor Information

Name

Title

Social Security Number

Home Phone #

Percent Owned #

Previous Address (if less than 2 years)

Additional Guarantor (total guarantors should have more than 75% ownership)

Name

Title

Social Security Number

Home Phone #

Percent Owned #

Previous Address (if less than 2 years)

Business Bank Information

Bank Name

Account Number

Officer

Telephone

Date Opened

Account Type (checking, savings, CD, loan)

Business Bank Information

Bank Name

Account Number

Officer

Telephone

Date Opened

Account Type (checking, savings, CD, loan)

Business Bank Information

Bank Name

Account Number

Officer

Telephone

Date Opened

Account Type (checking, savings, CD, loan)

Trade References

Firm Name

City and State

Telephone

Fax

Officer

How Long?

High Credit

Trade References

Firm Name

City and State

Telephone

Fax

Officer

How Long?

High Credit

Trade References

Firm Name

City and State

Telephone

Fax

Officer

How Long?

High Credit

Vendor Equipment Information

Equipment & Costs to be Leased

Amount to Finance (without Taxes)

Lease Months/Buyout desired

Monthly Payment desired

By clicking “Send”, I agree to the above statements.

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Commercial Lease Application

Billing Address

Delivery Address

Additional Guarantor (total guarantors should have more than 75% ownership)