LEASING
All American Supply
495 E. Erie Ave.
Philadelphia, PA
19134
(215) 634-2235
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LESEE INFORMATION
Full Name of Company
Street Address
City
State
Zip
Contact Name
Phone
Fax
Email
Business Description
Time Business Under Current Ownership
Type of Business
S-Corporation
C-Corporation
LLC
Proprietorship
Partnership
Non-Profit
Tax ID #
EQUIPMENT INFORMATION
Dollar Amount
Term Requested in Months
24 months
36 months
48 months
60 months
Purchase Option
$1
FMV
10%
Description of Equipment
BANK REFERENCES
Principle Bank Name
Account Numbers
Phone
LOAN/LEASE REFERENCES
Principle Bank Name
Account Numbers
Phone
TRADE REFERENCES
Name
Contact Name
Phone
Name
Contact Name
Phone
PRINCIPLE INFORMATION
Name
Name
Address
Address
City, State, Zip
City, State, Zip
Phone
Ownership %
Phone
Ownership %
Social Security #
Social Security #
Today's Date
By clicking the Submit button below, the undersigned individual as principal of and/or guarantor for the applicant, authorizes All American Supply, its designee, assigns or potential assigns, to review his/her personal credit profile provided by national credit bureaus, bank references and trade references in considering this Application and for the purpose of the update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. A fax or photocopy of this authorization shall be valid as the original.
