National Equipment Leasing Corporation

Apply for a Lease

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Before applying, contact us so we can better understand your company needs.
Individual owner guaranty's may or may not be needed. See FAQ's or Contact Us.

* = Required


*FEDERAL TAX IDENTIFICATION:
LEGAL BUSINESS NAME:
*DOING BUSINESS AS:
*BILLING ADDRESS:
*BILLING CITY:
*BILLING ZIP CODE:
*STATE BUSINESS FORMED IN:
*DATE BUSINESS STARTED:
*NUMBER OF YEARS UNDER CURRENT OWNERSHIP:
*NUMBER OF FULL TIME EMPLOYEES:
*NUMBER OF PART-TIME EMPLOYEES:

*CONTACT NAME:
*CONTACT DIRECT PHONE & EXT.:
*CONTACT CELL:
*CONTACT FAX:
*CONTACT EMAIL:
*BEST TIME TO CALL:

*EQUIPMENT TO BE LEASE FINANCED (DESCRIBE):
*NEW OR USED:
if used, year built and condition:
*COST OF EQUIPMENT:
*PURPOSE OF EQUIPMENT:
*EQUIPMENT LOCATION (if different then billing):
EXPECTED DELIVERY DATE
*DESIRED LEASE-FINANCING STRUCTURE OR BUDGET
*VENDOR NAME, CONTACT & PHONE#

TO EXPEDITE YOUR REQUEST, PLEASE SUBMIT THE TOP PAGE OF YOUR COMPANY BANK STATEMENT SHOWING ACCOUNT BALANCE & ACTIVITY.
*COMPANY PRIMARY BANK:
*CONTACT & PHONE#:
*MAIN CHECKING ACCT#:
Please send top page showing balance information from 3 months bank statements.
LINE OF CREDIT OR OTHER LOANS, IF ANY:
HIGH CREDIT AMOUNT FROM BANK IN DOLLARS:
ACCOUNTANT CONTACT & PHONE#:
*INSURANCE AGENT CONTACT & PHONE#

AUTHORIZED SIGNING OFFICER OR OWNER:
TITLE:
PERCENTAGE OF OWNERSHIP:
SOCIAL SECURITY NUMBER:
See FAQ "When is a Personal Guranty needed."
HOME ADDRESS:
CITY:
STATE:
ZIP:
HOME PHONE NUMBER:

OFFICER OR OWNER #2 (If 20% interest or more) :
TITLE:
PERCENTAGE OF OWNERSHIP:
SOCIAL SECURITY NUMBER:
See FAQ "When is a Personal Guranty needed."
HOME ADDRESS:
CITY:
STATE:
ZIP:
HOME PHONE NUMBER:

OFFICER OR OWNER #3 (If 20% interest or more) :
TITLE:
PERCENTAGE OF OWNERSHIP:
SOCIAL SECURITY NUMBER:
See FAQ "When is a Personal Guranty needed."
HOME ADDRESS:
CITY:
STATE:
ZIP:
HOME PHONE NUMBER:

*Validation:	Please enter the characters you see below...
* I authorize the expeditious release of all business & personal credit, deposit and borrowing information to National Equipment Leasing, its designee & assignee. A facsimile of such authorization to be treated as an original.

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