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Home > Construction Equipment Leasing >Heavy Equipment Leasing Application

Lease Application

Click here to download Lease Application in the PDF format.

Please complete all fields marked with an asterisk(*)

Equipment Details

   
Description *
Cost (ex. $24,000) *
   

Company Details

   
Company Name *
Lease Card Account # *
Contact Name *
Address *
City *
Sate *
Zip *
Phone *
E-mail
Years in Business *
   

Personal Information on Officers, Partners or Guarantors

Please note: We will need the personal information for any individual owning 20% or more of your company.
 
Name *
Address *
City *
Sate *
Zip *
E-mail
SSN *
% of Ownership *
   
 

Declaration

Taycor Financial is authorized to investigate directly or through an agent our credit and financial condition. We understand that such investigations may include seeking information as to the background, credit and financial responsibility of our officers and principals or any of them. We understand and consent that our credit information may be transmitted via the Internet, that such information may be accessible by unintended 3rd parties, that it is being submitted at our own risk, and that we waive any right to any punitive damages arising out of or associated with the transmission, interception, use or misuse of the application. We may request the status of this application to be transmitted by electronic mail and we expressly authorize Taycor Financial or its nominee to transmit such message to the electronic mail address, which we may provide. The person signing this application is 18 years of age or older.

 

 

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