Sunbelt Lessors Leasing Application

HTML Lease Application Form

Click here for Word 97 Application Form
Print this form, fill in the information, and fax to Sunbelt Lessors, Inc.@ (972)644-6370

LESSEE INFORMATION:

Legal Name:___________________________________________________________________________
Contact:____________________________________________ Title:______________________________
Address:______________________________________________________________________________
City:__________________________________County:__________ State:____ Zip code:_______
Type of Business:___________________________________ Years in Bus:______
Bus. Phone:_______________ Fax:_________________ Fed Tax ID or Soc Sec :__________________
[ ]Corp. (Date of Incorporation):__________ [ ] Partnership [ ] Proprietorship
Location of equipment if different from above:________________________________________________

VENDOR AND EQUIPMENT INFORMATION:

Vendor's Name:_________________________________ Ph:____________ Contact:________________
Address:___________________________________ City:__________________ State:___ Zip:________
Manufacturer:___________________________Model:______________[ ] New[ ] Used
Description:_________________________________________________No. of Units:_____
Cost of Equipment:_____________Lease Term: 24 mos.__ 36 mos.__ 48 mos.__ 60 Mos.__

PERSONAL INFORMATION:

Name:_______________________________ Home Ph:__________ SS#:__________ % Ownership:___
Address:____________________________________ City, State, & Zip___________________________
Name:_______________________________ Home Ph:__________ SS#:__________ % Ownership:___
Address:____________________________________ City, State, & Zip___________________________

BANK REFERENCES:

Name:___________________________________ Account #:____________ Contact:________________
City:___________________________________________ State:__________ Phone: ________________

TRADE REFERENCES:

Name:___________________________________ Account #:____________ Contact:________________
City:___________________________________________ State:__________ Phone: ________________
Name:______________________________________ Account #:___________ Contact:______________
City:___________________________________________ State:_______ Phone: ___________________
Name:______________________________________ Account #:___________ Contact:______________
City:___________________________________________ State:__________ Phone: ________________

AUTHORIZATION: