Sign In
Applying For
Lease/Finance
Working Capital
Both
Step 1: Company Information
Step 2: Customer Information
Step 3: Equipment Information
Step 1: Company Information
New Company
Existing Company
Legal Company Name
Operating Name (DBA)
Business Type
---
Incorporated
Limited Liability Company
Limited Liability Partnership
Partnership
Sole Proprietorship
Credit Union
Federal Organization
Non-Profit Organization
State/Provincial Organization
Unincorporated
Unknown
In Business Since
Nature of Business
Physical Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Same Registered Address?
Yes
No
Registered Address
Registered City
Registered State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Registered ZIP Code
Business Phone
Ext.
Business Fax
Email Address
Website
Average Annual Revenue
Average Bank Balance
Federal Tax ID
Step 2: Customer Information
Principal 1
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Middle Name
Last Name
Job Title
Percent of Ownership
Same as Business Addr.?
Yes
No
Home Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Home Phone
Mobile Phone
Bus. Phone Same as Co.?
Yes
No
Business Phone
Ext.
Email Address
Social Security Number
Date of Birth
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 2
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Middle Name
Last Name
Job Title
Percent of Ownership
Same as Business Addr.?
Yes
No
Home Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Home Phone
Mobile Phone
Bus. Phone Same as Co.?
Yes
No
Business Phone
Ext.
Email Address
Social Security Number
Date of Birth
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 3
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Middle Name
Last Name
Job Title
Percent of Ownership
Same as Business Addr.?
Yes
No
Home Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Home Phone
Mobile Phone
Bus. Phone Same as Co.?
Yes
No
Business Phone
Ext.
Email Address
Social Security Number
Date of Birth
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 4
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Middle Name
Last Name
Job Title
Percent of Ownership
Same as Business Addr.?
Yes
No
Home Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Home Phone
Mobile Phone
Bus. Phone Same as Co.?
Yes
No
Business Phone
Ext.
Email Address
Social Security Number
Date of Birth
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 5
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Middle Name
Last Name
Job Title
Percent of Ownership
Same as Business Addr.?
Yes
No
Home Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Home Phone
Mobile Phone
Bus. Phone Same as Co.?
Yes
No
Business Phone
Ext.
Email Address
Social Security Number
Date of Birth
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 6
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Middle Name
Last Name
Job Title
Percent of Ownership
Same as Business Addr.?
Yes
No
Home Address
City
State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Home Phone
Mobile Phone
Bus. Phone Same as Co.?
Yes
No
Business Phone
Ext.
Email Address
Social Security Number
Date of Birth
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Step 3: Equipment Information
Equipment Description
Vendor Company Name
Vendor Address
Vendor City
Vendor State
---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Vendor ZIP Code
Vendor Contact Name
Vendor Contact Number
Vendor Contact Email
Estimated Equipment Cost
Equipment Status
New
Used
Equipment Year
Working Capital Amount
Budgeted Monthly Payment
Time Frame
---
Immediate
Within 30 Days
30 - 90 Days
Not Sure
Preferred Term (months)
Reason for Equipment Acquisition
Comments
Please note that you will be able to upload any attachments you wish to include after the initial submission.
By checking this box, I agree with the
Terms of Use
and
Privacy Policy
.
By signing below, I represent I am applying for this Transaction, which will be used for business and/or commercial purposes and agree this shall not be construed as a consumer contract. I further certify the information provided in this application is true and accurate in all respects. I agree TimePayment Corp. dba Kingswood (herein ‘Kingswood’), its authorized affiliates, assigns and agents may retain this application whether or not the Transaction is approved. I expressly consent and authorize Kingswood and its affiliates, assigns and agents to share and use all information to contact me using any means of communication, including but not limited to, calls placed to my home, business, or cellular telephone using an automatic dialer device, calls using prerecorded messages and/or SMS text messages, and emails regarding promotions, product offerings, and other marketing materials about Kingswood and our affiliates. I expressly consent and authorize Kingswood, its affiliates and assigns to check my credit and employment history for the purposes of determining my credit worthiness at the time of application, and thereafter in connection with the same transaction or extension of credit, or for other promotional opportunities and for the further purpose of reviewing the account, taking collection activity on the account and skip tracing. Kingswood, its authorized affiliates and assigns are authorized to provide account history information to others about my credit standing and credit experience with me, including but not limited to credit bureaus, other companies, outside collection agencies and outside attorneys. To help fight terrorism and money laundering, I understand the information I provide will be verified. I authorize the release of all deposit, borrowing, financial and trade information to Kingswood by telephone, email, or fax.
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Thank you for submitting your application. We look forward to working with you. Please expect a sales executive to contact you shortly.
Lease Reference Number:
Working Capital Reference Number:
Attachments
Remove Attachment
Add Attachment
Attachment 1
Attachment 1 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 2
Attachment 2 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 3
Attachment 3 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 4
Attachment 4 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 5
Attachment 5 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 6
Attachment 6 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 7
Attachment 7 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 8
Attachment 8 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 9
Attachment 9 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 10
Attachment 10 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 11
Attachment 11 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 12
Attachment 12 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 13
Attachment 13 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 14
Attachment 14 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 15
Attachment 15 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 16
Attachment 16 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 17
Attachment 17 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 18
Attachment 18 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 19
Attachment 19 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Attachment 20
Attachment 20 Type
---
Business Bank Statement
Business Plan
Credit Application - Signed
Credit Application - Unsigned
Credit Submittal Form
Equipment Quote
Order Signed
Quote Approved
Quote Subject to Approval
Vendor Sales Quote
Next
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CA Privacy Policy:
https://kingswoodleasing.com/ca-privacy-notice/
For questions about financing:
Phone:
888-327-8121
Email:
sales@kingswoodleasing.com
For all other inquiries:
Phone:
888-327-8121
Email:
info@kingswoodleasing.com
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