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

Faxable Application

*FOUND US WHERE:

FEDERAL TAX IDENTIFICATION:

LEGAL BUSINESS NAME:

DOING BUSINESS AS:

*BILLING ADDRESS:

*BILLING CITY:

*STATE BUSINESS FORMED IN:

*BILLING ZIP CODE:

*DATE BUSINESS STARTED:

NUMBER OF YEARS UNDER CURRENT OWNERSHIP:

NUMBER OF FULL TIME EMPLOYEES:

NUMBER OF PART-TIME EMPLOYEES:

*CONTACT NAME:

*CONTACT DIRECT PHONE :

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:

EXPECTED DELIVERY DATE

DESIRED LEASE-FINANCING STRUCTURE OR BUDGET

VENDOR NAME, CONTACT & PHONE#

*VENDOR EMAIL:

COMPANY PRIMARY BANK:

CONTACT & PHONE#:

MAIN CHECKING ACCT#:

To expedite your request, please submit the top page of your company bank statement showing balance information from 3 most recent months.

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:

If individual ownership is 20% or more please complete the Credit Authorization Release Form.
Each owner with 20% or more ownership is required to complete a Credit release form. See FAQ "When is a Personal Guarantee needed."

Equipment Lease Financing Release Form. NELC requires your signature to process application. Please fill out, sign then fax or e-mail
Credit Authorization release form.

*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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