ALS FINANCIAL
Equipment Cost and purpose:
Commercial Equipment Leasing Application
EQUIPMENT & VENDOR INFORMATION
Equipment Description Vendor Address Vendor Contact Street Term City Plan Vendor Name State Option Zip
COMPANY
Business Name
Vendo r Phone INFORMATION#
Federal Tax I.D. Number Street Street Owner since (Mo/Yr) City City State State Zip Zip
Location Address Mailing Address (if different) Business Phone Number Type of Ownership
Total Years in this type business Type of Industry with Standard Industrial Code (SIC)
OWNER / PERSONAL PROFILE
Name Spouse’s Name (if co-owner or co-applicant) Home Address Home Telephone Number Name Spouse’s Name (if co-owner or co-applicant) Home Address Home Telephone Number Name Spouse’s Name (if co-owner or co-applicant) Home Address Home Telephone Number Social Security Number Social Security Number S City t r Housing Expense e _________ per $ e month Own t Rent City/State Street Street Social Security Number Social Security Number City Date of Birth Date of Birth State % Ownership % Ownership Zip Company Title Company Title # Years at this Address
Housing Expense $ _________ Per month Own Rent Social Security Number Social Security Number City Date of Birth Date of Birth State % Ownership % Ownership Zip Company Title Company Title # Years at this Address
Housing Expense $ _________ Per month Own Rent Date of Birth Date of Birth State % Ownership % Ownership Zip Company Title Company Title # Years at this Address
BANK REFERENCE
Name of Bank/Branch
Annual Income Applicant: $_____________ Spouse (if applicant): $_____________ Checking Acct. # Telephone # Contact Officer
HOME OWNERSHIP
Name of Lender City/State Accoun t# Accoun t# Telephone # Contact Person
Name of Lender
City/State
Telephone #
Contact Person
The undersigned certifies that the information provided in this application is true and complete as of the date indicated. Le ssor is authorized to conduct a credit investigation using any and all information provided for commercial leasing credit.
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Authorized Officer, Partner or Proprietor Title Date