National Equipment Leasing of Texas

On Line Lease Application


Lessee Information (The User of the Equipment)
Legal Name of Business:
DBA:
Address:
City, State, Zip :
Contact Name:
Phone Number:
Fax Number:
Email:
Federal Tax ID#:
Years in Business:
Nature of Business :
Business Type
Ownership Information (Owners/Principles)
Owner/Principle Name:
Home Address:
City, State, Zip:
Home Phone Number:
Social Security #:
Additional Owner/Principle Name:
Home Address:
City, State, Zip:
Home Phone Number:
Social Security #:
Bank References
Business Bank Name:
Bank Phone Number:
Bank Account Number:
Additional Business Bank Name:
Bank Phone Number:
Bank Account Number:
Equipment and Supplier Information
Equipment Description:
Equipment Cost:
Lease Term:
Purchase Option:
Equipment Supplier:
Address:
City, State, Zip:
Phone:
By submitting this application, the individual(s), recognizing that his or her individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to and authorizes National Equipment Leasing of Texas and/or an assignee, lender or funding service that may be utilized to obtain and use a consumer credit report now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim that would otherwise have under the Fair Credit Reporting Ace in the absence of this continuing consent.