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
In Business Since
Nature of Business
Physical Address
City
State
ZIP Code
Same Registered Address?
Yes
No
Registered Address
Registered City
Registered State
Registered ZIP Code
Business Phone Ext.
Business Fax
Email Address
Website
Average Annual Revenue
Average Bank Balance
Federal Tax ID

Step 3: Equipment Information
Equipment Description
Vendor Address
Vendor City
Vendor State
Vendor ZIP Code
Vendor Contact Email
Estimated Equipment Cost
Equipment Status
New
Used
Equipment Year
Working Capital Amount
Budgeted Monthly Payment
Time Frame
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.

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
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For questions about financing, contact: Cliff Metcalfe III Phone: 603-285-6716 Email: Cliff3@kingswoodleasing.com

For all other inquiries, contact: Rebecca Jackson, Sales/Customer Service Mgr. Phone: 281-359-7487 Email: becca@pitmaker.com

Step 1: Company Information

Step 2: Customer Information

Principal 1

Principal 2

Principal 3

Principal 4

Principal 5

Principal 6

Step 3: Equipment Information

Attachments