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:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
-
Banking Officer:
Phone # (xxx-xxx-xxxx):
-
-
Fax # (xxx-xxx-xxxx):
-
-
Checking Account #:
Saving Account #:
Loan Account #:
Secondary Bank:
City:
State:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
-
Social Security #:
-
-
Percent Ownership:
%
Title
2nd Owner - Full Name
Home Address:
City:
State:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
-
Social Security #:
-
-
Percent Ownership:
%
Title
3rd Owner - Full Name
Home Address:
City:
State:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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):
/
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