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Commercial Loans

Commercial Lease Credit Application

Please fill out the following fields below.
Secure Form
Dealer Information
 
Rep Name
Dealer Name
Rep Email
Rep Phone
e.g. ###-###-####
Deal Type ($1.00/FMV/10%/CPC)
Customer Information
 
Company Legal Name*
Federal ID#
Address
Address Line 2
City
State Zip
County
Email
Phone
e.g. ###-###-####
Duns #
Contact
Title
Yrs Under Current Ownership
Company Type
Web Site
Equipment Will Be Located At
Nature of the Business
Business Banking Information
 
Name of Bank
Phone
e.g. ###-###-####
Contact
Account/Loan #(s)
Opening Date
e.g. mm/dd/yyyy
Trade References (Supplies customer has revolving relationship with)
Reference 1
Name
Phone
e.g. ###-###-####
Contact
Account #
Reference 2
Name
Phone
e.g. ###-###-####
Contact
Account #
Deal Information
 
Equipment Make/Model/Mods
New/Used ($1.00 only)
Rate Factor
Total MSRP
Total Amount
Lease Term (mo)
Payment (+ tax)
By clicking submit you validate that you have received written customer permission to make a credit inquiry on their company. Personal guarantee inquiries require a hard copy signature.
*Required
 

CUSTOMER INFORMATION CENTER: (800) 681-1776 | In Kansas City, (913) 324-6400
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