Compass Leasing - Equipment Leasing since 1969

Compass Leasing
Equipment Leasing since 1969

Compass On Line Lease Application

This is a secure link, fully protecting all submitted information. However, if you prefer to have us call you back for selected information such as Social Security #'s and bank information, you may omit these fields. Your information will never be shared with any source other than those as necessary to conduct our credit review as so authorized by you in the statement below.

For a quick inquiry instead of the On-Line Application below,
equipment buyers may , equipment sellers may
or you may simply call us at 1-800-770-9110 or send us an e-mail at .

Business Information

Legal Business Name

Address

City/State/Zip / /

County

Start Date w/ Current Ownership

Federal Tax ID

Main Phone #

Main Fax #

Contact Name

Contact Phone #

Contact Email

Business Structure If Other:

Officer/Principal Ownership

First Title Holder

Title If Other:

Name

Personal Address

City/State/Zip / /

Phone #

% Ownership

Social Security #

Bank References

Primary Bank Reference

Bank Name

Branch

Contact Name

Phone/Fax # Ph: Fax:

Account Type If Other:

Account Number

Account Balance

Trade References (3 required)

Trade Reference #1

Company Name #1

Contact Name

Phone #

Account #

Trade Reference #2

Company Name #2

Contact Name

Phone #

Account #

Trade Reference #3

Company Name #3

Contact Name

Phone #

Account #

Equipment

Description

Cost (net of tax)

Lease Term Requested

Expected Delivery Date

Delivery Location Same as business address above.
Other Address:
/ /

Vendor/Supplier of Equipment

Vendor/Supplier Name

Vendor Address

City/State/Zip / /

Vendor Contact

Vendor Phone/Fax Ph: Fx:

Authorization

By checking this box, the undersigned individual, who is either an executive or a principal of the credit applicant or a guarantor of its obligations, provides written instruction to Compass Financial Management Group, Inc. d/b/a Compass Leasing and/or its nominees and/or assigns, authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in consideration of this application and subsequently for the purpose of update, renewal or the extension of such credit or additional credit and for reviewing and for collecting the resulting account. A photostat or facsimile copy of this authorization shall be valid as the original. By submission of this application below, I/we affirm our identity as the respective individuals identified in this related application.

Furthermore, the undersigned submitter agrees to provide additional information and/or documentation as may be reasonably necessary to enable application completion.

NOTICE: Credit approval and lease finalization are subject to analysis of all credit and equipment review by Compass Leasing, its nominees and/or assigns, and it is hereby agreed that final approval, denial, or lease structure is up to the sole discretion of Compass Leasing, its nominees and/or assigns.