PutnamLeasing || Business Lease

* Indicates required information. For additional guarantors, please complete a second application.

Auction/Event:
	Business Information
Business Name*:
Street Address*:
City*:
State*:
ZIP*:
Business Phone*:
Business Fax :
Type of Business*:
Years in Business*:
Federal Tax ID# :
Officer Signing for Company*:
Title*:
Name of Bank*:
Branch Location :
Account Number*:
Officer :
Phone Number*:

	Vehicle Information
Year*:
Make*:
Model*:
Body Style:
Color:
New/Used:
Mileage:
Selling Price*:
Down Payment:
Lease Cap Cost:
Term of Lease:

	Guarantor Information
First Name*:
Last Name*:
Street Address*:
City*:
State*:
ZIP*:
Home Phone*:
Fax:
Email Address*:
Comfirm Email Address*:
Date of Birth*:
Social Security Number*:
Citizenship*:
Own or Rent*:
How Long In Residence*:
Previous Address: (if less than 2 years)
City:
State:
ZIP:
Position with Company*:
How Long Employed*:
Verifiable Annual Income*:

The above information is correct to the best of my knowledge. Putnam Leasing, will rely on this application in deciding whether to grant the requested credit and may keep this application on file. I authorize Putnam Leasing, and its affiliates, to review my credit and employment history, and, if approved, obtain future credit reports as necessary. Putnam Leasing will safeguard my information and will use it for internal purposes only. I understand that federal law requires financial institutions to obtain, verify, and record identifying information.

Indicate that you understand and agree with the above statement by typing your name below:

I understand and agree*:
Comments:
Sales Rep:
How to Submit:	Submit Form to Putnam Leasing Create a Printable Version For Faxing

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