Welcome to Intelalease Commercial Leasing

Lease Application
Intelalease COMMERCIAL LEASING

501 Route 208,
Monroe, NY
10950

Phone: 845-783-5987
F ax: 845-783-5989
E-Mail: info@Intelalease.com

Lessee	Legal Business Name
	Address
	City
	State	Zip
	Phone	Contact
	Type of Business
	Years in Business

Owner Information		Prop Corp Ptshp
	Federal Tax ID #
	Officer Name
	Title
	Address
	SS#
	City
	State	Zip
	Officer Name
	Title
	Address
	SS#
	City
	State	Zip

Vendor Information	Contact
	Phone
	Equipment
	Projected Cost $
	Term 36 48 60

Bank	Bank should be at least two (2) years old. If less, please supply a previous bank reference
	Bank
	Contact
	Account # - Business Checking
	Phone
	Other Banking Reference

Trades	Name
	Contact
	Phone
	Name
	Contact
	Phone
	Name
	Contact
	Phone
By checking yes, the individual submitting this form, recognizing that his/her individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to and authorizes 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 review process and waives any right or claim they would otherwise have under Fair Credit Reporting Act in the absence of this continuing consent.