Lease Tech Capital | Lease Application

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Thank you for your interest in Lease Tech Capital. If you are applying for a lease less please upload first page of the last 3 months of the business checking statements and vendor quote or equipment description. If you are applying for more than $125,00 please add your last 2 years of tax returns.

1Customer Information

2Vendor Equipment Information

3Owner/Stockholder Information

4Bank Refrence

Customer Information
Complete Legal Name of Business*
Date Business Started*
MM slash DD slash YYYY
What type of business*
- Sole Prop
- LLC
- "S" Corp
- "C" Corp
Mailing Address of Business*
Street Address City State ZIP Code
Physical Address of Business (if different than above)
Street Address City State ZIP Code
Company Phone Number*
Fax Number
Contact Person*
Contact Person Cell
Federal Tax ID#*
Email*
Type of Business*

Principal's Name and Title
% Owned
Social Security
Date of Birth
Home Address
Street Address City State ZIP Code
Home Phone
Principal's Name and Title
% Owned
Social Security
Date of Birth
Home Address
Street Address City State ZIP Code
Home Phone

Customer Information

Bank Reference

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