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Online Lease Application

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Custom Leasing's Online Application Form

Custom Leasing

Notes:

  1. If you are interested in submitting an application, please complete the online application form below. Or if you prefer, you may contact our office at 1-800-499-4987.
  2. Upon notification of approval, notify your equipment vendor and finalize your deal.
  3. Your Custom leasing representative will help design a lease program that best meets your business needs.
  4. Your lease documents will be sent by express mail or e-mail, whichever you prefer.
  5. Once we receive your signed lease documents, we will place an order for your equipment with your supplier.

Simply complete the form below and we will respond to your inquiry promptly. Information requested in blue is required.

Vendor Information
Account Manager
Equipment Condition
Purchase Option
Lessee Information
Equipment Location
Type of Business





New Business?

If this is not a new business, please idicate the start-up date in the box below.

Did you purchase an Existing Business?

If you purchased and existing business, please indicate the purchase date in the box below.

Information on principals (First principal)
Do you own or rent?
Has the applicant or any guarantor ever had:




Information on principals (Second principal)
Do you own or rent?
Has the applicant or any guarantor ever had:




Bank References

Note: Please use previous bank if less than 3 years.

Borrowing?
References

Please list one personal refernce and the closest relative not living with you.

Personal Reference

Closest Relative (not living with you)

Authorization

The applicant(s) certifies that all information contained in this application, and all attachments hereto, are true and complete to the best of the applicant(s) knowledge, and are made for the purpose of obtaining credit for business purposes, and not for personal or family use. The applicant(s) hereby authorize Custom Leasing, Inc. and any assignee, lender or funding service that may be utilized to obtain and use a consumer credit report on the undersigned, now, from time to time, and at any time in the future, as may be needed in the credit evaluation and review process and waives any right or claim the applicant(s) would otherwise have under the Fair Credit Reporting Act in absence of this continuing consent. The applicant(s) further authorize any bank, financial institution or trade reference to release credit information on the applicant(s) account(s) to Custom Leasing, Inc. and/or its assigns. An electronic, photocopy or facsimile copy of this authorization with a copied, electronic or facsimile signature shall be deemed to be binding, valid, genuine and authentic as an original-signature document for all purposes. A non-refundable documentation fee will be required for the preparation and distribution of lease documents.

Please acknowledge your authorization by checking AGREE or DISAGREE