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* Please note the disclaimer on the inquiry page.






Equipment Financing - KD Capital

Please fill out the lease application below. We will follow up with you to discuss your application.


* denotes required field.

   
Business Information:
* Business Name:  
* Business Phone:  
  Business Fax:  
  Address:  
  City:  
  State:  
  Zip:  
  Country:  
  Type of Business:  
  Age of Business:  
  FEIN:  
  Equipment Location:  
  County:  
* Email Address:  
  Please add me to your email list:  
Ownership Information:
  Business Structure:  
  Principal's Name:  
  Principal's Title:  
  Principal's % Ownership:  
  Principal's SSN:  
  Home Address:  
  City:  
  State:  
  Zip:  
  Country:  
Equipment Information:
  Vendor:  
  Contact:  
  Contact:  
  Description:
Trade Reference Information:
  Company Name:  
  Contact Name:  
  Company Phone:  
  Company 2 Name:  
  Contact Name:  
  Company Phone:  
  Company 3 Name:  
  Contact Name:  
  Company Phone:  
Bank Reference Information:
  Bank Name:  
  Branch/Location:  
  Bank Phone:  
  Name on Account:  
  Account No:  
  Fax:  
  Bank 2 Name:  
  Branch/Location 2:  
  Bank 2 Phone:  
  Name on Account 2:  
  Account No 2:  
  Fax 2:  
By Submitting this application I undestand that my individual credit history may be a factor in the evaluation of the applicant and hereby consent to and authorize the above named business credit provider and any assignee, lender or funding service that may be utilized to obtain and use a consumer credit report on the undersigned, now and from time to time, as may be needed in the credit evaluation and reveiw process and waives any right or claim they would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.