Non-Profit Organization Credit Application

Organization Information :
Organization Name: ...... Type of Entity:
Organization Address:
Organization City: State: Zip:
Organization Phone: ... Email:
Time in Business: Fed Tax ID :
Contact Name:
Contact Phone: email:
Offirer 1 Information :
Officer 1 Name: Social Security Num:
Officer 1 Address: .Date of Birth:
Officer 1 City: State: Zip:
Officer 1 Phone: ..Cell Phone:
OfficeOfficer 1 Email:
Officer 2 Information :
Officer 2 Name: Social Security Num:
Officer 2 Address: .Date of Birth:
Officer 2 City: State: Zip:
Officer 2 Phone: Cell Phone:
Officer 2 Email:
Dealer Information :
Dealer Name:

... If no dealer, enter NONE.

Dealer Address:
Dealer City: State: Zip:
Dealer Contact:
Dealer Phone: .... Dealer Email:
Equipment Information :
Equipment Description:

New or Used?
(Attach list if necessary)

Manufacturer: Model: Year:
Equipment Cost: ...Term Requested:
Notes: ...........

By submitting this application, I (we) is (are) providing an Electronic Signature. An electronic signature, or e-signature, is any electronic means that indicates either that a person adopts the contents of an electronic message, or more broadly that the person who claims to have written a message is the one who wrote it (and that the message received is the one that was sent by this person). I (we) each individually as principals and/or guarantors of the Obligor, and on behalf of the Obligor (individually and collectively Applicant), hereby affirms that the foregoing information contained in this Credit Application is presented for the purpose of obtaining or maintaining credit as of the date indicated and is true, complete and correct. Capital Leasing Solutions, its affiliates, successors, designees or assigns is/are authorized to have this information verified and for consumer credit reports to be obtained. Applicant understands Capital Lease Funding, Inc. dba Capital Leasing Solutions (Lender or Lessor) is relying on this statement of our financial condition in extending or continuing to extend credit to Applicant. 

 

Phone: 888-464-6256 - Fax: 888-464-1947

email: credit@capital-leasing.com