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London Leasing
London Leasing
London Leasing
London Leasing
London Leasing
London Leasing
London Leasing > Commercial Financing / Apply Now > Leasing Application

Leasing Application - Online | (Click Here for a printable version of our Leasing Application)

Lessee Company Information
   
Company Name Vendor Code
     
Contact Name Telephone Fax
     
Billing Address City State Zip
       
Payment Plan
   
Term in Months Type of Lease
   
Equipment to be Leased
   
1) Type of Equipment to be Leased Equipment Cost
   
2) Type of Equipment to be Leased Equipment Cost
   
3) Type of Equipment to be Leased Equipment Cost
   
Lessee Company Information
     
Company Name DBA Federal Identifiction #
     
Billing Address City State Zip
     
Telephone Fax Email
   
Nature of Business Contact Name
   
Type of Business  
 
   
Date Opened (Present Ownership, MM / YYYY State Registered  
 
     
Personal Information (Officers, Partners or Guarantors)
   
1) Name Title
     
% Ownership Social Security Number Home Telephone Number
     
Billing Address City State Zip
   
2) Name Title
     
% Ownership Social Security Number Home Telephone Number
     
Billing Address City State Zip
       
Trade References (Two Year History / Optional)
     
1) Name of Supplier Contact Name Telephone Number
     
Billing Address City State Zip
     
2) Name of Supplier Contact Name Telephone Number
     
Billing Address City State Zip
       
Company Bank References (Two Year History)
     
1) Name of Bank/Branch Checking Account # Telephone Number
     
City State Loan Account # Contact Officer
     
2) Name of Bank/Branch Checking Account # Telephone Number
     
City State Loan Account # Contact Officer
 
Declaration
 
This application submitted electronically shall have the same force and effect as if the application bore an inked original signature(s). The above information, together with any accompanying financial statements, schedules, or other materials, is submitted for the purpose of obtaining credit and is warranted to be true, correct and complete. The undersigned hereby warrants that any individual identified above who is either a principal, a personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, has provided his/her written authorization for inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and shall hold LONDON Leasing and its assignees, agents or nominees harmless from same. You understand that such investigation may include seeking information as to the background, credit and financial responsibility of your officers and principals (or any of them). The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided the applicant has the capacity to enter into the binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. If for any reason your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please write to LONDON Leasing., 2635 East Millbrook Road, Raleigh, NC 27604.