Interface Financial

Lease Application

Company Information

Company Name/DBA
 Company Type
Corporation Partnership
Proprietorship 		Date Established
(Mo)  (Year)
/
Address
 Description of Business
 # Employees
City
 State
 Zip
 Contact Name
 Title
Phone
 Fax
 Email

Owner 1 Information

First Name
 Initial
 Last Name
 Title
 Social Security #
Address
 City
 State
 Zip

Owner 2 Information

First Name
 Initial
 Last Name
 Title
 Social Security #
Address
 City
 State
 Zip

Bank Information

Bank Name
 Phone Number
 Fax Number
 Date Open
Contact
 Account #1
 Account #2

Trade References

Company Name
 Phone Number
 Fax Number
 Date Open
Contact
 Account #1
 Account #2
Company Name
 Phone Number
 Fax Number
 Date Open
Contact
 Account #1
 Account #2

 

Lease Amount      Estimated Purchase Date

Requested Lease Term      Purchase Option

Description of Items

Comments

Untitled Document

I understand that submission of this form, either physically or electronically, is my authorization to the listed references to release information concerning personal or company credit to TEAM Equipment Leasing, Inc. or its assigns.

Please click "Submit" to apply now.

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