Leasing & Financing

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Online Credit Application

* Indicates a required field.

Business Information

* Legal Business Name    
* DBA Name  

* Billing Address    
* Tax Identification No.    

* Address    
* County    

City
State
Zip Code

   

Equipment Location (if different)
County

City
State
Zip Code

   

* Contact    
* E-Mail  

* Phone Number    
Fax

Nature of Business

Time in Business
Time as Owner

* No. of Employees    
* Gross Annual Revenue    

Is your business sales tax exempt?
Tax Exempt Number



Guarantor Information
(ALL 20% OR MORE OWNERS AND OTHER GUARANTORS)

Principal/Partner/Officer
% Ownership

Title
Date of Birth

Social Security #
U.S. Citizen

Home Address
Home Phone

City
State
Zip Code

   

Billing Address (if different)
Phone

City
State
Zip Code

   


Principal/Partner/Officer
% Ownership

Title
Date of Birth

Social Security #
U.S. Citizen

Home Address
Home Phone

City
State
Zip Code

   

Billing Address (if different)
Phone

City
State
Zip Code

   

Equipment Information

Please indicate the equipment you are planning to acquire

Equipment Supplier
Estimated Total Costs

Structure


Term (Months)

Bank Reference

Bank Reference Name
Phone Number

Account Type



Account/Loan Officer
Account Number

Current Balance
Average Balance (6 months)

Credit Terms & Policies

"You", the "Applicant" (both terms include the business entity as well as all of the individuals named above), certify to us that you are applying for credit for business reasons, and not for personal, family or household purposes. Applicant authorizes, ALT Sales Corp-ALL Erection & Crane Rental (ALT) and it's assigns to obtain information from others concerning Applicant's credit and trade standing, including Applicant's personal credit report, and other relevant information impacting this application, and if the Lease is approved, from time to time during the term of the Lease. In addition to the information requested on this application, ALT may subsequently request additional information from Applicant.

IMPORTANT INFORMATION: Except as otherwise prohibited by law, you agree and consent that the affiliates in ALL Erection & Crane Rental-ALT Sales Corp. (collectively "ALT") may share with each other all information about you that ALT has or may obtain for the purposes, among other things, of evaluating credit applications or offering you products or services that ALT believes may be of interest to you. Under the Fair Credit Reporting Act there is certain credit information that cannot be shared about you (unless you are a business) if you tell ALT by writing to ALT Attention: Office of Consumer Privacy-Finance Division, 4945 Brecksville Rd. Richfield, OH. 44286. Please provide your name, address, social security number and account number(s). As an authorized agent of the applicant company, you represent that you have reviewed this document and the information herein is true, correct and complete. A photo copy of this authorization shall be as valid as the original.

Ohio Residents Only: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law.

New York Residents Only: A consumer report may be requested in conjunction with this application. Upon your request, you will be informed whether or not a consumer report was requested and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. Subsequent consumer reports may be requested or utilized in connection with an update, renewal or extension of the credit for which this application is made.

Vermont Residents Only: You authorize ALT Sales Corp. and it's assigns to obtain credit reports about you now and in the future for all legitimate purposes associated with this application or the account including, but not limited to: (a) evaluating this application; and (b) renewing, reviewing, modifying, and taking collection action on the account.

Important Information About Procedures for Opening A New Account: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, business documents, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

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