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Welcome to our Lease Program
Please fill in the Application to be approved for our lease program- Easy Fast Program
14
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1
Our Program is Simple -$15,000 dollars down/ $4,500 a month - DO YOU AGREE TO THESE Terms?
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Plans from 24-36 months
YES
NO
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2
Name
*
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First Name
Last Name
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3
Email
*
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example@example.com
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4
Phone Number
*
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Cell Phone
Area Code
Phone Number
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5
Do you have a current 5 million insurance policy?
*
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YES
NO
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6
Federal Tax Id #
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7
Social Security Number
*
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8
Yearly Revenue for 2018
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Total Company- GROSS REVENUE (before expenses)
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9
Fill in your USDOT Number?
*
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USDOT #
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10
Preferred Payment- How do you want to pay for the lease? please note that we can not guarantee your preferred payment.
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(please note that any credit card payments will be processed at 3% user fee)
Automatic ACH Payment
Credit Card
Automatic Check by Phone
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11
Credit Reference
*
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Name and Phone of credit reference (2 minimum) Any one that give lets you pay them after services rendered.
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12
*
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Please Upload 3 months of Summary Page of Bank Statements (October, November and December)
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Max. file size
: 10.6MB
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13
Signature
*
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Approval to run Company Credit and Personal Credit
Clear
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14
Please verify that you are human
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