First American Finance

EQUIPMENT LEASE FINANCING APPLICATION

 

Applicant Contact Information
Name:
Email Address:
Phone:      Fax:

Vendor/Equipment Supplier Information
Company Name:
Address:
City: State Zip
Phone: Contact:

Company Information / Lessee
Legal Company Name:
Address:
City: State Zip
Phone: Date Established?:
Business Description:

1. Principal/Owner of the Company
Name: Title:
Phone:        % of Ownership:
Address:   Own   Rent
City: State Zip
Social Security #:

2. Officer/Partner of the Company
Name: Title:
Phone:        % of Ownership:
Address:   Own   Rent
City: State Zip
Social Security #:

3. Officer/Partner of the Company
Name: Title:
Phone:        % of Ownership:
Address:   Own   Rent
City: State Zip
Social Security #:

Bank Reference
1. Bank: Phone:
Contact Person:
Checking Acct #: Average Balance:

Credit Reference
2. Bank: Phone:
Contact Person:
Loan Acct #: Date Opened:

Trade References
1. Company: Phone:
2. Company: Phone:
3. Company: Phone:

Describe Equipment You Would Like To Lease Finance*
(Include make, model, approximate cost and any other details we should know):

How Were You Referred To First American Finance?:

I/We hereby authorize First American Finance its successors and/or assigns to verify any credit, bank or trade references from whatever sources deemed appropriate and further authorize our financial institutions and trade references to release information requested.

   

Return to Main Page without Submitting Application