Eagle Leasing II LLC

The Leader in the Leasing Industry

Leasing Application

 


Eagle Leasing

22536 Laureldale Drive, Lutz, Florida 33549

(813)  428 5133    EMAIL:  leem1008@aol.com

CREDIT APPLICATION

LESSEE: _______________________________________________________  TELEPHONE:___________________

ADDRESS:______________________________________________________   FAX __________________________

CITY _______________________ STATE ________  ZIP CODE __________ YEARS IN BUSINESS ________

EQUIPMENT LOCATION ____________________________________________________________________________

TYPE OF BUSINESS _________________________________________________ FED. ID #___________________

   ____ LLC       ____ CORPORATION      ____PROPRIETORSHIP      ____ PARTNERSHIP

OFFICER NAME ________________________________________________________ TITLE ____________________

HOME ADDRESS __________________________________________________________________________________

HOME PHONE ______________________ CELL PHONE _________________ EMAIL________________________

DATE OF BIRTH _____________________________________ SOCIAL SECURITY # _______________________

OFFICER NAME ________________________________________________________ TITLE ____________________

HOME ADDRESS __________________________________________________________________________________

HOME PHONE ______________________ CELL PHONE _________________ EMAIL________________________

DATE OF BIRTH _____________________________________ SOCIAL SECURITY # _______________________

BUSINESS BANK _________________________________________________ ACCT #_________________________

CONTACT NAME _____________________________________________ TELEPHONE #_______________________

BUSINESS BANK _________________________________________________ ACCT #_________________________

CONTACT NAME _____________________________________________ TELEPHONE #_______________________

SUPPLIER ______________________________ CONTACT ___________________ TELEPHONE_________________

SUPPLIER ______________________________ CONTACT ___________________ TELEPHONE_________________

VENDOR __________________________________________________________ TELEPHONE _____________________

EQUIPMENT DESCRIPTION ____________________________________________________________________________

EQUIPMENT COST ____________________________ TERM __________ SALES TAX RATE _________________

                                                                               CREDIT AUTHORIZATION

By signing below the undersigned individual, who is either a principal of the credit applicant or a personal guarantor of its obligations,

Provides written instruction to EAGLE LEASING II, LLC, or its designee, assigns or potential assigns, to review his/her personal credit

Profile provided by national credit bureaus in considering this Application and for the purpose of the update, renewal or extension of credit to the Applicant or the collection of any resulting account. A fax or photocopy of this authorization shall be valid as the original.

 

BY:_____________________________________________________        BY:_________________________________________________

       PLEASE FORWARD COPIES OF YOUR LAST 3 MONTHS BANK STATEMENTS WITH THIS APPLICATION