The following application can be used for most loans or leases through Nations Bus.

Please fill out and submit.

 
LESSEE INFORMATION
Full Legal Business Name:
Physical Address:
City:
State:
Zip:  - 
County:
 
Contact Person:
Title:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
Email Address:
 
Nature of Business:
Date Established (MM/YYYY):  / 
Federal I.D. number:
Business Type: Corporation Partnership Proprietorship Non-Profit LLC Sub S Corporation
 
Insurance Agency:
Insurance Contact:
Phone # (xxx-xxx-xxxx):  - -
Fax # (xxx-xxx-xxxx):  - -
 
BUSINESS CREDIT INFORMATION
Primary Bank:
City:
State:
Zip:  - 
Banking Officer:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
Checking Account #:
Saving Account #:
Loan Account #:
 
Secondary Bank:
City:
State:
Zip:  - 
Banking Officer:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
Checking Account #:
Saving Account #:
Loan Account #:
 
Credit References should be Major Liabilities, Current Leases & Major Suppliers
 
Primary Credit Reference:
Contact:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
Account #:
 
Second Credit Reference:
Contact:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
Account #:
 
Third Credit Reference:
Contact:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
Account #:
 
PERSONAL CREDIT INFORMATION
(Required for Closely Held Corporations, Partnerships & Sole Proprietorships)
1st Owner - Full Name
Home Address:
City:
State:
Zip:  - 
Social Security #:  -  - 
Percent Ownership: %
Title
 
2nd Owner - Full Name
Home Address:
City:
State:
Zip:  - 
Social Security #:  -  - 
Percent Ownership: %
Title
 
3rd Owner - Full Name
Home Address:
City:
State:
Zip:  - 
Social Security #:  -  - 
Percent Ownership
Title
 
EQUIPMENT
General Description of Equipment to be leased:
Equipment Cost:
 
Requested Lease Term: (months)
Requested Buy-Out:
 
VENDOR INFORMATION
Supplier Name:
City:
State:
Zip:  - 
Contact:
Phone # (xxx-xxx-xxxx):  -  - 
Fax # (xxx-xxx-xxxx):  -  - 
 
The e-signature generated by typing your name in the space below authorizes all parties contacted to release credit and financial information requested as part of said investigation by telephone, facsimile or other manner. The e-signature shall be considered as a legal signature for bank and trade references purposes.
 
Name:
Title:
Date (MM/DD/YYYY):  /  /