Capital Resources, LLC  Equipment Leasing | Equipment Finance

Secure Equipment Lease Application

No Fees - Real Simple - Immediate Results

 

Vendor Information (The Supplier of the Equipment)
Vendor Name:
Address:
City, State, Zip:
Contact Name:
Phone Number:
Fax Number:
Email:
Lessee Information (The User of the Equipment)
Company Name:
DBA:
Federal Tax ID:
Address:
City, State, Zip:
Contact Name:
Contact Title:
Phone Number:
Fax Number:
Email Address:
Web Site:
Nature of Business:
Business Structure:
Years In Business
(Under Present Ownership):
Equipment Description:
Number of Employees:
Equipment Cost:
Lease Term:
Purchase Option:
Monthly Payment:
Bank References
( Financial statements for the last two years are required for commercial transactions over $75,000 )
  ( Financial statements for the last two years are required for medical transactions over $125,000 )
Bank Name:
Address:
City, State, Zip:
Contact:
Phone Number:
Fax Number:
Account Type:
Account Number:
Trade Reference # 1
Company Name:
Address:
City, State, Zip:
Contact:
Phone Number:
Fax Number:
Trade Reference # 2
Company Name:
Address:
City, State, Zip:
Contact:
Phone Number:
Fax Number:
Personal Data
( Guarantor(s) information required for all proprietors, partnerships, and closely held corporations)
Name #1:
Home Address:
City, State, Zip
Social Security Number:
Name #2:
Home Address:
City, State, Zip
Social Security Number:
 
Additional information that could help in the evaluation of my application:
This application is being submitted by:
All correspondence should be sent to:
Your Email Address (Required):

 

REQUIRED: YOU MUST SELECT "I Agree" FROM THE DROP-DOWN MENU LISTED BELOW BEFORE YOUR APPLICATION CAN BE PROCESSED.  IF YOU DO NOT MAKE A SELECTION OR YOU SELECT "I Do Not Agree" YOUR APPLICATION WILL NOT BE PROCESSED.

 By submitting this application, I certify that all the information I have given or will give with this application is true and complete.  I hereby give you and/or your designees or assignees the authorization to obtain information concerning my personal and/or company credit information. 

A COMPLETE AND ACCURATE APPLICATION
WILL ENABLE US TO PROVIDE YOU WITH A QUICK DECISION

 

 

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