Online Church Application

Church Information :
Legal Church Name: ...... Type of Entity:
Incorporated Name: ...Year Incorporated: Fed Tax ID:
Address: ......State of Incorporation:
City: State: Zip:
Church Phone: ... Church Website:
Church Fax: ... Fed Tax ID : ... Age of Church Building:
Contact Name: ..... Phone:
Contact email:
Church Membership: Members in 2018 ..... Members in 2019 ..... Members in 2020
Guarantor (1) Information :
Guarantor Name: Social Security #:
Guarantor Address: .Date of Birth:
Guarantor Home City: State: Zip:
Home Phone: ..Cell Phone:
.Email:
Guarantor (2) Information :
Guarantor (2) Name: Social Security #:
Guarantor Address: .Date of Birth:
Guarantor Home City: State: Zip:
Home Phone: ..Cell Phone:
.Email:
Vendor Information :
Vendor Name:

If no dealer, enter NONE.

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

New or Used?
(Attach list if necessary)

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

RELEASE & AUTHORIZATION
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 make any investigation of Applicant's credit either directly or through any agency employed by Capital Leasing Solutions for that purpose. 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: 954-522-3773

email: credit@capital-leasing.com

Powered by