Online Lease Application

CLICK HERE - To download this apllication in MS-Word format.

Vendor:
Contact:
Phone:
Address:
Lessee:(Full Legal Name)
Phone:
Address:
Years in Business:
Type of Business:
Equipment Location:
(if different from Billing Address)
Category: Corporation
Sole Proprietorship
Partnership
Federal Tax ID:
Officer Name:
Title:
Address:
Phone:
SS#:
Officer Name:
Title:
Address:
Phone:
SS#:
Equipment:
Total Price w/o Tax
Lease Term (Months)
Purchase Option:
Advance Rentals:
Bank: Bank accounts should be at least 2 years old. If less, please supply previous bank references
Bank Name:
Type of Acct:
Date Opened
Contact:
Phone
Acct #
Trade: (Trades not required for start-ups)
Name #1:
Contact #1:
Acct#:
Phone:
Name #2:
Contact #2:
Acct#:
Phone:
Name #3:
Contact #3:
Acct#:
Phone:
I authorize the release of any credit or financial information requested to process this application:
By:
Date:
Vendor Leasing Financial Corporation,10533 Avila Circle, Ft. Myers, FL 33913
Phone:239-561-2911/800-234-2304 Fax: 239-561-2913/800-727-2082