sales@i-are.com

CREDIT APPLICATION

Contact Information

Company name/DBA Address 1 Address 2 City State Zip Telephone No. Fax No. Contact Person Title 

Item and Amount You Want To Lease

Name of Equipment You Want to Lease 

Price of Equipment You Want to Lease 

Lessee Information

Nature of Business Type of BusinessNon-Profit Proprietor Partnership Corporation Number of Years in Business 

Principal(s) or Guarantor(s)

Contact Person Title Social Security No. % Ownership Home Address City State Zip Telephone No. 
Contact Person Title Social Security No. Ownership Home Address City State Zip Telephone No. 

Company Bank References

Must have two year history
Name of Bank/Branch How Long Telephone No. Contact Officer Checking Account No. Loan Acct. No. 

Name of Bank/Branch How Long Telephone No. Contact Officer Checking Account No. Loan Acct. No. 

Previous Bank How Long Telephone No. Contact Officer Checking Account No. Loan Acct. No. 

Trade References and Other Leases

Must have two year history
Company Account No.
Telephone No. Contact Person 
Company Account No.
Telephone No. Contact Person 
Landlord Name City,State 
Telephone No. Contact Person