Credit Application

Would you like an equipment lease from Capital Equipment Leasing?

Please fill out the following form and submit your credit application:

(All tagged information is required.)

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First Principal Information

Your Title

Mr. Mrs. Ms. Dr.

Your Full Name

Social Security Number

Company Name

Job Title

Street

City

State

ALAKARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMSMOMTNCNDNENHNJNVNMNYOHOKORPARISCSDTNTXUTVTVAWAWIWVWY

Zip

Business Phone Number

Business Fax Number

Your Email Address

Your Website Address (URL)

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General Business Information

Type of Business

Age of Business

Federal Tax ID Number

Full Address of Equipment Location

Status

Proprietorship Partnership Corporation State ofIncorporation

D & B Rating

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Second Principal Information

Name and Title

Social Security Number

Full Home Address

Time living at above address

Spouse's name

Percent of Ownership

Guarantee

Yes No

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Creditor Information

Bank & Branch with Phone Number

Officer

Type of Creditor

Checking Savings Loan

Number

Other Credit Facilites?

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References

Please Provide 5 TradeReferences: Company Name, Address, Contact/Acct #, Telephone

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Equipment Information

Describe Equipment: Vendor,Cost,Sales Tax, Estimated Delivery Date, Term (months)

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Other Information and Comments

Comments

Capital Equipment Leasing
7825 Fay Ave
Suite 200
San Diego, CA 92037
Phone: (858) 551-1214
Fax: (858) 459-9394
Help@CELeasing.com