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:
Federal Tax ID #:
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 following 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 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.”

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