Lashley Tractor Sales Financing Application

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Which application do you want to complete?

Application Type:

Consumer Commercial

What Type of Equipment Would You Like to Finance?*

Get Started on a Commercial Finance Application

Legal Business Name*

Business Type*

Business Contact Name*

Business Phone*

Fax Number

Cell Number

Email Address*

SS#/Federal Tax ID#*

Org ID #*

State Organized in*

Time in Business: *

In Years and Months

Business Street Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Mailing Address (if different than street address)

Address Line 1

Address Line 2

City

State

ZIP Code

Gross Annual Income*

Personal Information of Proprietor, Guarantors, or Partners

If you are the Sole-proprietor (list name as it appears on your driver's license):

First Name

Initial (optional)

Last Name

Suffix (optional)

Date of Birth*

Home Phone*

US Citizen?*

Yes No

Passport Number*

Country*

If you are applying for joint credit or have a relationship to another applicant also applying for credit, please give us the applicant name and your relationship to that applicant:

First Name

Initial (optional)

Last Name

Suffix (optional)

The undersigned represents that all of the information contained in this Application is true, correct and complete.

Name*

First Name

Last Name

Date*

Title*

CEO/CFO Pres Vice Pres Secretary/Treasurer Sole Proprietor Gen Partner Member

Other:

Get Started on a Consumer Finance Application

How will you be filing?*

Individual Joint

Applicant's Name (as it appears on your driver's license)

First Name

Middle Name (optional)

Last Name

Suffix (optional)

Email Address*

Model of Machine to Finance *

Personal Information

Date of Birth*

Social Security Number*

Format as ###-##-####

License Number*

License Region*

License Expiration Date*

Cell Phone*

Residence Phone

Address Information

Street Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Is the above address the same as your mailing address?

Yes No

Mailing Address

Address Line 1

Address Line 2

City

State

ZIP Code

Have you been at your current address for at least three (3) years?

Yes No

Years at current address

Residential Status*

If at current address for less than three (3) years, please complete the next fields for your previous address.

Previous Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Number of Years at Previous Address*

Employment Information

Are you self-employed, retired, or neither?*

Self-Employed Retired Neither

Employer Name*

Occupation

Employer Phone Number*

Length of Employment (Years)*

Length of Retirement (Years)*

Gross Monthly Income (Pre-tax)* $

Employer Address

Address Line 1

Address Line 2

City

State

ZIP Code

Previous Employer Information

If at current employer less than three (3) years, please complete the following for your previous employment.

Employer Name

Occupation

Employer Phone Number

Length of Employment (Years)

Gross Monthly Income (Pre-tax) $

Employer Address

Address Line 1

Address Line 2

City

State

ZIP Code

Other Income

Income Source

Gross Monthly Amount (Pre-Tax)

Joint Applicant's Personal Information

Joint Applicant's Name (as it appears on your driver's license)

First Name

Middle Name (optional)

Last Name

Suffix (optional)

Relationship*

Email*

Date of Birth*

Social Security Number*

Format as ###-##-####

License Number*

License Region*

License Expiration Date*

Cell Phone*

Residence Phone

Joint Applicant's Address Information

Street Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Is the above address your mailing address?*

Yes No

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Have you been at your current address for at least three (3) years?*

Yes No

Years at current address

Residential Status*

If at current address for less than three (3) years, please complete the next fields for your previous address.

Previous Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Number of Years at Previous Address*

Joint Applicant's Employment Information

Are you self-employed, retired, or neither?*

Self-Employed Retired Neither

Employer Name*

Occupation

Employer Phone Number*

Length of Employment (Years)*

Length of Retirement (Years)*

Gross Monthly Income (Pre-tax)* $

Employer Address

Address Line 1

Address Line 2

City

State

ZIP Code

Joint Applicant's Previous Employer Information

If at current employer less than three (3) years, please complete the following for your previous employment.

Employer Name

Occupation

Employer Phone Number

Length of Employment (Years)

Gross Monthly Income (Pre-tax) $

Employer Address

Address Line 1

Address Line 2

City

State

ZIP Code

Joint Applicant's Other Income

Income Source

Gross Monthly Amount (Pre-Tax)

Confirmation

By submitting this form, you understand that Lashley Tractor Sales may obtain and use credit reports about me from credit reporting agencies: (i) to evaluate this Application; and (ii) if this Application is approved, for the purposes of updating, renewing, extending, reviewing, servicing, and collecting the account, as well as other legitimate purposes associated with the account. You also understand Lashley Tractor Sales may report information about your account to credit reporting agencies. You understand that late payments, missed payments, or other defaults on your account may be reflected in your credit report(s). You agree that this application shall remain Lashley Tractor Sales's property, regardless of whether financing is granted.

Once you have verified all of your information, please type your name in the Signature box below then click Submit to send. By submitting this application, you are confirming that the information submitted is true to the best of your knowledge.

Signature*

Today's Date*

Please upload a copy of your driver's license. No File Chosen

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Which application do you want to complete?

Get Started on a Commercial Finance Application

Business Information

Personal Information of Proprietor, Guarantors, or Partners

Business References

Bank Information

Equipment Financing/Leasing Reference

Equipment Financing/Leasing Reference

Equipment Financing/Leasing Reference

Confirmation

Get Started on a Consumer Finance Application

Personal Information

Address Information

If at current address for less than three (3) years, please complete the next fields for your previous address.

Employment Information

Previous Employer Information

If at current employer less than three (3) years, please complete the following for your previous employment.

Other Income

Joint Applicant's Personal Information

Joint Applicant's Address Information

Joint Applicant's Employment Information

Joint Applicant's Previous Employer Information

If at current employer less than three (3) years, please complete the following for your previous employment.

Joint Applicant's Other Income

Confirmation