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
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
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
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
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
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
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 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 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 checking this box, each individual(s), who is either a principal of the credit applicant or a personal guarantor of its obligations, provides written instruction to Kingswood Leasing, Inc. or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit report from a national credit bureau. Such authorization shall extend to obtaining a credit report in considering the application of the credit applicant and subsequently for the purpose of update, renewal or extension of such credit and for reviewing or collecting the resulting account. A photostatic or facsimile copy of this authorization shall be as valid as the original.
Processing...
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
Back
For questions about financing, contact
Patrick Signer
Phone:
888-327-8121
Fax:
888-327-8099
Email:
Patrick@kingswoodleasing.com
For all other inquiries, contact:
Rebecca Jackson
Phone:
281-359-7487
Email:
becca@pitmaker.com
Dev Tools
Clear Cache