EQUIPMENT FINANCING & LEASING SPECIALIST

Resources

Equipment Finance
Lease / Loan Application
(NO SOLICITATIONS)

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

Credit Authorization: I/We hereby authorize First Financial, LLC,  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 updating, renewing, extending additional credit or the collection of any late account. I/We hereby authorize our references to release all credit information and I/We represent and warrant that the information submitted herein is true, complete and accurate. A facsimile, electronic or other copy of this authorization shall be as valid as the original.