Equipment Lease Application


Vendor Information
Thursday 17 August 2017
Vendor Company Name
Address
City/State/Zip
Phone
Contact
Equipment Description

Lessee Company Information
Company Name
Company Address City/State/Zip
Federal Tax ID Number
Time in Business
Contact Person
Title
Email
Phone
Business Type
Nature of Business
Signer

Personal Information for all Officers/Partners/Guarantors
Name Title Own% How Long Home Address City State Zip Phone SSN #

Banking References
Branch Officer Phone Account #(s) Chkg Svngs Loan

Declaration:
Applicant warrants that all credit and financial information submitted to lessor herewith or at any time is true and correct, and authorizes Omega Capital Partners, LLC to investigate applicants credit worthiness as may needed. The undersigned authorizes all banking institutions, credit reporting agencies and its agents to release all necessary information via telephone, mail or facsimile as requested, for the purpose of securing a lease.

 I / We agree to the terms and conditions above.
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Click Here to download the Omega Capital financing application form (PDF).