lease alliance logo
1072 Autumn Lane, Bloomfield Hills, MI 48304
Office: 248-258-0406 Fax: 248-258-0408
Toll Free: 800-815-2446 agthomson@leasealliancellc.com

Commercial Equipment Lease Application

(*Indicates required data.)
*Complete Legal Name Of Business  *Date  
*Physical Address
*Business Telephone No.
Business Fax No.
*Mailing Address, If Different
Years In Business
*Tax Payer ID Number
*(Our agents will call for this information)*
Trade Name or Style, If Any
 		Type of Business
Equipment Location When Not In Use
How Long At This Address?
Cell Phone:
*Ownership:       Sole Owner                   Partnership                   Corporation                   Other
*Principal or Officer



 *Title

*Social Security No.
*(For your security, our agents will call for this information)*

 Spouse



 *Home Address


Bank/Debt References:
*Name and Address
*Contact, Telephone

*Account Number


 *Type of Account
 Loan
 Checking
*(For your security, our
agents will call for this
information)*		  Loan
 Checking
   Loan
 Lease
   Loan
  Lease
Trade References or Hauling References:
*Company & Address
 *Telephone
 *Contact
Vendor Address Telephone
Contact
 Equipment
    New         Used
*Cost
 Tax
 Freight
 Installation
 *Total Cost
Insurance Information Landlord Information
Agent:
 Contact:     
Address:   Address:    
Phone:  Telephone:  
Fax:  Fax:            
Additional Information
Lessee hereby authorizes any bank or other lending  institution, creditor, trade, or credit association, or trade or credit reporting bureau, or any other person who has knowledge of  Leesse's credit or  trade history to release such  information to  Lease Alliance or  its assigns or designee(s). A photograpgic or faxed copy of this authorization  shall  be valid  as the original. The undersigned agrees to reimburse any actual expenses within ten (10) days of invoice by Lessor as needed to complete the lease transaction.

*Name: 

*Title:   

Checklist of Items Needed for Lease Amounts Over $75,000
• 3 Years of business tax returns.
• 3 Years of personal tax returns for any individual owning more than 10% of the entity.
• Current interim financial statement the past tax year.
• Copies of purchase orders and sales invoices.
• Copies of 3 month's of business bank statements (summary pages only)