Advantage Financial Services
Lease Application
146 Huntington Street, Lake Bluff, Illinois 60044 FAX (847) 787-5325 • Phone (847) 295-0354 • Toll Free (888) 4494480 Contact Name: ______________________________________ Title _____________________________ Company Name: ___________________________________Circle Type: Proprietorship • S-Corp • C-Corp Street Address: ________________________ City, State, Zip: ____________________County_________ Email: ____________________________Web Address: _______________________________________ Business Phone: ___________________________ Business Fax: ________________________________ Nature of Business: ____________________________Years in Business: _____ Years at Location ______ Type of Equipment: __________________________ Equipment Cost: ______________ New/Used: ___ Number of Employees _____________ Annual Sales ______________ FEID Number_______________ Vendor/Supplier Contact: __________________________Phone: _______________________________ Bank Name: ___________________________ Phone _______________________________________
Contact Name: ______________________________ Account #: ________________________________ TRADE REFERENCES/OTHER LEASES Number 1: ____________________________________ Phone: ________________________________ Number 2: ____________________________________ Phone: ________________________________ Number 3: ____________________________________ Phone: ________________________________ PERSONAL INFORMATION Officer Name :_____________________________________ SS# ______________________________ Address: _________________________________________HOME PHONE#___________________
The undersigned individual, who is either a principal of the credit applicant or a personal guarantor of its obligations, provides written instruction to Lessor or its Designee (and any assignee thereof) authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A Photostat of facsimile copy of this authorization shall be valid as the original. I/We affirm my/our identity as the respective individual(s) identified in the above application.
City: ___________________________________________State: ________ZIP: ________________
SIGNATURE: __________________________________TITLE: _____________DATE: ___________