U.S. Equipment Finance, L.L.C.

TELEPHONE: (405) 691-2288
FAX:  (405) 692-8990             
EMAIL: info@usequipmentfinance.com

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U.S. Equipment Finance, L.L.C.
SECURE ONLINE LEASE APPLICATION

Please submit the following application and a marketing
representative will contact you:

( marked fields are required )

LESSEE:  
Date:     , (Month, DD, YYYY)
Address:    
City:    
State:  
Zip:    
Email:  
Web Site URL:    
Phone:    (ie.405-691-2288)
Fax:     Cell:
FED TAX ID#:    
PERSON TO CONTACT:         Phone:    
TYPE OF BUSINESS:    
HOW LONG IN BUSINESS:      
Bank Name Branch/City#1:     Contact: 
Acct. No.:     Phone: 
Bank Name Branch/City#2:     Contact: 
Acct. No.:     Phone: 
EQUIPMENT FINANCING REFERENCE#1
Finance Company Name#1:     Contact: 
Address:    
Acct. No.:       Phone: 
Finance Company Name#2:     Contact: 
Address:    
Acct. No.:       Phone: 
PRINCIPALS: Include Address & Social Security #:
#1:  
Address:    
Title:     Own   Rent 
DOB(MM/DD/YYYY)    SS#: 
#2:  
Address:    
Title:        Own   Rent 
DOB(MM/DD/YYYY)   SS#: 
Description of Equipment:    
Vendor:    
Vendor Contact:       Phone: 
Price of Equipment($)       Trade in($) 
Down payment($)       Term(months) 
Hauling Reference’s for Owner Operators for last 2 years:
Company   
Contact   
Phone:      Years

By:        Title


Applicant-Lessee warrants that all credit information submitted to Lessor is true and correct, and authorizes U S Equipment Finance, LLC and it’s assigns to make credit investigations and obtain credit reports and other financial information, written or oral, respecting its credit and financial position as Lessor may deem necessary or expedient. I further authorize the reproduction of this release authorization by means of facsimile or photocopy.



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OR CONTACT US AT:
TELEPHONE: (405) 691-2288
FAX: (405) 692-8990
EMAIL: info@usequipmentfinance.com

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