LeaseSource, Inc | Free Credit Appraisal


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	Are you tired of trying to qualify for a bank loan? Does the long, tedious process of applying for “traditional” financing make your head spin? Find out now if you may qualify for an equipment, software, or computer lease. Just fill out our easy, convenient, one-step application. You will receive a FREE credit appraisal from LeaseSource, Inc. There is no obligation. Just fill out this form completely and we’ll evaluate your eligibility to qualify for any of our money-saving lease programs.You have two options: 1) You may fill out the form below and send it to us via e-mail by clicking on "I Agree" below or; 2) You may download a version of this form in Adobe Acrobat format; click here. To download Adobe Acrobat Reader program, click here. It's free! After you have downloaded, please print out a hard copy of this application, fill in the information and FAX your application to (770) 395-0922 or mail it to LeaseSource, Inc., 1530 Dunwoody Village Parkway, Suite 204, Atlanta, GA 30338. *Note: These fields are required in order to submit your entry.
	LESSEE

*Full legal name:
*E-mail address:
Federal ID number:
DBA:
*Phone:
Street Address:
City, State, Zip:
County/Use Tax Rate:
Business Description:
Corporation Proprietorship Partnership
*Years in business (current ownership)

PRINCIPALS

*Percentage ownership of each owner:
*Owner/president:
*Social security number:
*Home address:
*Co-owner/partner:
*Co-owner/partner social security number:
Co-owner home address:
(If there are additional owners, please fax their information to 770/395-0922)

BUSINESS REFERENCES

Bank Name: (two year history):
Bank phone number:
Checking account number:
Loan account number:
Bank officer name:
Bank Name (two year history):
Bank phone number:
Checking account number:
Loan account number:
Bank officer name:

TRADE ACCOUNTS

Name:
Phone:
Contact:
Name:
Phone:
Contact:
Name:
Phone:
Contact:

EQUIPMENT DESCRIPTION

*equipment description required

*Total cost:
Equipment location: (if other than leesee's address above)

PURCHASE OPTIONS

24 Months 36 Months 48 Months 60 Months Not Sure

Residual :10% Fair Market Value $1.00 Not Sure

I hereby certify that all information contained in this application, are true and complete to the best of my knowledge, and are made for the purpose of obtaining credit. I authorize LeaseSource, Inc. to verify any of the information from whatever source it deems appropriate and I further authorize release any of the above referenced credit information to LeaseSource, Inc.

IMPORTANT NOTE: Click "I Agree" once to submit. Your information provided to LeaseSource, Inc. is never sold, rented or provided to other companies for solicitation purposes.

Let LeaseSource, Inc., handle all of your business financing needs. Need a business loan? Looking for equipment leasing, computer leasing, software leasing or other equipment lease? Want a working capital loan? Look no further! LeaseSource is YOUR leasing company, here to assist you with the financial services you need to help your business grow.

LeaseSource, Inc.
1530 Dunwoody Village Parkway, Suite 204, Atlanta, GA 30338
Phone: (770) 395-0140 - (800) 422-8328 Fax: (770) 395-0922
Email: info@leasesourceinc.com