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IMPORTANT: PRINT OUT, SIGN, SCAN AND RETURN TO LEASE FINANCIAL INC.
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LFI
Lease Financial Inc.
Finance / Lease Application
Lease Financial Inc.
Lease Financial Inc. Credit Department
Phone: 586-850-2548
Fax: 704-353-7263
Email: credit@leasefinancialllc.com
Thomas Strickfaden: tstrickfaden@leasefinancialllc.com
Jordan Page: jordan@leasefinancialllc.com
Business Purpose Credit Application.
This application is for business-purpose financing only and not for personal, family, or household use. Applicant and Guarantor(s) should complete all applicable sections and sign below.
Business Information
Legal Business Name
DBA Name
Tax ID Number
Street Address / City / State / ZIP
Billing Address, if different
Contact Name
Phone
Email
Annual Revenue $
Nature of Business
Years in Business
Years as Owner
No. Employees
Business Type:
Corporation
LLC
Partnership
Sole Proprietorship
Other
Sales Tax Exempt:
No
Yes
Tax Exempt #
Credit Request & Equipment Information
Requested Credit Amount $
Vendor / Equipment Supplier
Total Equipment Cost $
Requested Term / Months
Equipment Description
Equipment Location, if different
Lease Structure:
$1 Purchase Option
Fair Market Value
Other
Other Details
Guarantor Information — 20% or More Owners and Other Guarantors
Guarantor / Owner #1
Name
Title
% Ownership
Date of Birth
SSN
Home Address / City / State / ZIP
Phone
U.S. Citizen:
Yes
No
Guarantor / Owner #2
Name
Title
% Ownership
Date of Birth
SSN
Home Address / City / State / ZIP
Phone
U.S. Citizen:
Yes
No
Add another PG / Guarantor on this deal
If checked, complete the additional PG section below. This may require slightly smaller print scale to keep one page.
Additional PG / Guarantor #3
Name
Title
% Ownership
Phone
Date of Birth
SSN
U.S. Citizen:
Yes
No
Home Address / City / State / ZIP
Bank Reference
Bank Name
Account / Loan Officer
Phone
Current Balance $
Account Type:
Checking
Savings
Loan
Line of Credit
Account No.
Average Balance $
Credit Authorization
Applicant and each Guarantor authorize Lease Financial Inc., its funding partners, agents, assigns, and service providers to obtain business and consumer credit reports, verify references, bank information, trade information, and any other information deemed necessary in connection with this application, any resulting transaction, and any subsequent review, renewal, modification, collection, or servicing of any account. Applicant and Guarantor(s) certify that all information provided is true, correct, and complete.
Company & Guarantor Signatures — Wet Signature Friendly
Company Authorized Signer
Printed Name
Title
Email
Cell
Signature
Date
Guarantor #1
Printed Name
Title
Email
Cell
Signature
Date
Guarantor #2, If Applicable
Printed Name
Title
Email
Cell
Signature
Date
Additional PG / Guarantor #3 Signature
Printed Name
Title
Email
Cell
Signature
Date