EQUIPMENT FINANCING & LEASING SPECIALIST

Resources

Equipment Finance
Lease / Loan Application

Please complete the information below and click on "Submit".
Items with * are required. Other items are optional.

                                
Application Information
Type of Legal Entity:
Business Name: *
Street Address: *
Street Address 2:
City: *
State:
Zip Code: * (5 digits)
Years In Business: *
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Principal Contact: *
Phone #: *
Fax #:
Email: *
Personal Information On Officers, Partners, Owners

  Owner One

First Name: *
Last Name: *
Home Address: *
City: *
State:
Zip: *
Home Phone #:
Email: *
Social Security #: *
D.O.B: *
Ownership Percentage: *

 Owner Two

First Name:
Last Name:
Home Address:
City:
State:
Zip:
Home Phone #:
Email:
Social Security #:
D.O.B:
Ownership Percentage:
Bank Information
Name of Bank:
Account Number::
Contact Person:
Equipment Information 
Dealer/Seller Phone #
Equipment Description:
Total Price: (USD)
Down Money  (USD)   (If applicable)
Desired Term:
Other Information
Comments:
  

                             I/WE AGREE

I/WE understand that by clicking on the I/WE AGREE button immediately to the left of this notice, I/WE are providing “written instructions” to First Financial, LLC under the Fair Credit Reporting Act authorizing First Financial, LLC to obtain information from my/our personal credit profile or other information from CoreLogic. I/WE authorize First Financial, LLC to obtain such information solely to prequalify me/us for credit options (or something that indicates the financial aspect of the transaction). Credit Information accessed for my/our pre-qualification request may be different than the Credit Information accessed by a credit grantor on a date after the date of my original pre-qualification request to make the credit decision.”
               

Contact Information

Tip: You can provide a brief description of your form. Also, you may want to let your customers know what happens after they submit the form. For example, upon form submission, they would be added to your contact list.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

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