AEF Equipment Finance

Business Name

DBA

Fed Tax ID (##-#######)

Business Established Date

Phone

Company Email

Company Type

Years under current ownership

Tax Exempt

Yes
No
Partial

Has company ever declared bankruptcy?

Yes
No

State of Incorporation

Annual Revenue $ (#,###,###)

Equipment Location Address

Address Line 1

City

State

Zip Code

Title

Name

First

Middle

Last

Mobile Phone

(###-###-####)

Email

Bureau SSN (###-##-####)

Birthdate

Ownership Percentage (%)

Street (Home) Address

Address Line 1

City

State

Zip Code

Model

Manufacturer

Model #

Vendor Information

Equipment Description

Condition

Quantity

Cost Per Unit ($)

Attachments (Equipment Quote, Bank Statements, Other)

Drag & Drop Files, Choose Files to Upload

CREDIT RELEASE AUTHORIZATION

By checking this, I accept the following terms and conditions:
I certify that the information provided in this lease application is true and accurate. I authorize our banks, agents, assignees, designees, affiliates, trade references, and financial institutions to release credit information. Where permitted by law, I authorize the filing and recording of UCC financing statements showing the Secured Party’s interest in the equipment and grant the Secured Party the right to execute the Lessee’s/Debtor’s name for this purpose. A photocopy of this authorization shall be deemed as valid as the original. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against applicants based on race, color, religion, national origin, sex, marital status, age (if legally able to contract), income from public assistance, or the exercise of rights under the Consumer Credit Protection Act. The Federal Trade Commission, Equal Credit Opportunity, Washington, D.C. 20580, administers compliance with this law. If your business credit application is denied, you have the right to request a written statement of specific reasons. To obtain this, contact the Lessor within 60 days of being notified of the decision. We will provide a written statement within 30 days of receiving your request. Notice: To help the government fight terrorism and money laundering, U.S. federal law requires financial institutions to obtain, verify, and record information identifying each person or business opening an account. When you open an account or add services, we will ask for your name, address, and taxpayer identification number, and may request additional identifying documents.

Signature

Clear Signature

Tax Signature Phone

Apply With Confidence!