Financing Application
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Benefits of Leasing
Please complete this Lease Application to apply for equipment financing.
Required fields are denoted with an asterisk (*).
Vendor Information
Vendor:
Autoboss USA
* Vendor Sales Rep:
-- Select Sales Rep --
Casey Park
Ed Test
Giovanni Balian
Jorge Suazo
Larry Frias
Matthew Yu
Mike Sata
Raymond Quan
Lease Information
* Equipment Description:
* Equipment Cost $:
* Term:
?
24
36
48
60
(months)
Purchase Option:
-- Select Option --
Fair Market Value
$1 Buy Out
10% Put
Lessee Company Information
* Company Name:
* Business Description:
* Address:
* City:
* State:
?
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
* Zip:
* Phone:
Fax:
* Contact Name:
Email:
* Business Type:
Corporation
LLC
Non-Profit
Partnership
Proprietorship
Federal Tax Id#:
* Years In Business:
Principals Information
Add Principal
Title:
--Please Select One--
Member
Owner
Partner
President
Secretary
Vice President
* First Name:
* Last Name:
* Address:
* City:
* State:
?
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
* Zip:
* SSN:
* % Ownership:
Remove Principal
Corp Only
Minimum requirements to consider a corporation only application include but are not limited to 5 years time in business along with 15 employees.
Company Bank Reference
Add Reference
Click 'Add Reference' link to add Bank Reference.
Declaration
I accept
the terms and conditions
for this program.
Privacy Policy
Contact:
Suzanne R. Becker
(877) 573-7910 Direct
(949) 809-8885 Direct Fax
(888) 225-2621 Toll Free