Applying For Lease/Finance
Working Capital
Both

Step 1: Company Information
Step 2: Customer Information
Step 3: Equipment Information

Legal Company Name
DBA
Business Type
Years In Business
Physical Address
City
State
Zip Code
Business Phone Ext.
Business Fax
Email Address
Average Annual Revenue
Average Bank Balance
Federal Tax ID

Principal 1
- First Name
- Last Name
- Title
- Percent of Ownership
- Home Address
- City
- State
- Zip Code
- Cell Phone
- Email Address
- Social Security Number
Principal 2
- First Name
- Last Name
- Title
- Percent of Ownership
- Home Address
- City
- State
- Zip Code
- Cell Phone
- Email Address
- Social Security Number
Principal 3
- First Name
- Last Name
- Title
- Percent of Ownership
- Home Address
- City
- State
- Zip Code
- Cell Phone
- Email Address
- Social Security Number
Principal 4
- First Name
- Last Name
- Title
- Percent of Ownership
- Home Address
- City
- State
- Zip Code
- Cell Phone
- Email Address
- Social Security Number
Principal 5
- First Name
- Last Name
- Title
- Percent of Ownership
- Home Address
- City
- State
- Zip Code
- Cell Phone
- Email Address
- Social Security Number
Principal 6
- First Name
- Last Name
- Title
- Percent of Ownership
- Home Address
- City
- State
- Zip Code
- Cell Phone
- Email Address
- Social Security Number

Equipment Description
Vendor Company Name
Vendor Contact Name
Vendor Contact Number
Estimated Equipment Cost
Working Capital Amount
Budgeted Monthly Payment
Time Frame
Attachments
- Attachment 1
- Attachment 2
- Attachment 3
- Attachment 4
- Attachment 5
- Attachment 6
- Attachment 7
- Attachment 8
- Attachment 9
- Attachment 10
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For questions about financing, contact David Goldstein Phone: 714-450-1026 Fax: (888) 330-8617 Email: dgoldstein@alliancefunds.com

Download PDF Application