Lease Application

 

Please submit the following form or print and fax to: (800) 259-6136

For faxing or mailing download this form from here. Adobe Acrobat (pdf) or MS Word or RTF 
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AmeriLease Corp. Phone: (800) 619-4532
Fax: (800) 259-6136
Full Business Name:
Street Address:
City: State:
Zip: County:
Telephone:
Fax:
Email:
Contact:
Type Of Business:
Time in Business: Years
Fed ID#:
Corporation:

Proprietorship:

 Partnership:

Vendor Information

Vendor Name:
Contact:
Address:
City: Zip:
State: County:
Tel:
Fax:
Equipment Description: New  Used
Dollar Amt:
(without tax)
Term:
Principals:
Principal 1
Name:
Title:
Percent of Ownership
Social #:
(H) Address:
(H) City:
State: Zip:
Tel:
Rent/Own?
How long at current address?:
Principal 2
Name:
Title:
Percent of Ownership
Social #:
(H) Address:
(H) City:
State: Zip:
Tel:
Rent/Own?
How long at current address?:
Bank References
Name Type of Account Account # Telephone Contact Name
               
Trade References
Name Contact Account # Telephone Fax 
 
Credit Release
I hereby authorize our banks, trade references and financial institutions to release credit information to Lessor and further authorize Lessor to obtain other credit information including D&B reports and Credit Bureau Reports 
 

 

 

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AmeriLease Corporation
160 Newport Center Drive, Suite 110
Newport Beach, California  92660

949.719.6800 phone 949.719.6808 fax
800.619.4532 toll free 800.259.6136 toll free fax
Send us an e-mail
 
 
Modified 11/07/2005