Corporate Capital Leasing Group

LEASE APPLICATION

You may use this secure online form to submit an application for our review. If you prefer, you may contact our office at 800-549-9570 to have an application FAXed or mailed to you.

STEP 1 - Please Tell Us About Your Company
What is the name of your business?
Is the business: a Corporation a Partnership a Proprietorship
What is the street address?		What is the City?
Which State?		Zip Code?
What is the telephone number?		What is the FAX number?
How long has this business been established under present management?
Please describe the nature of your business:
Who may we contact for further information?
What is the contact's email address?
STEP 2 - Please Tell Us About the Equipment You Want To Lease
Please give us a brief description of the equipment you plan to lease:
What is the approximate cost of the equipment?
Who will be the vendor for the equipment(if known)?
Which Leasing term would you like? 30 months 48 months 60 months
STEP 3 - Please Tell Us About the Principal(s)/Guarantor(s)
Principal #1		Principal #2
Name:		Name:
Home Address:		Home Address:
City, State, Zip:		City, State, Zip:
Social Security Number:		Social Security Number
Title:		Title:
Percentage of Stock Ownership:		Percentage of Stock Ownership:
STEP 4 - Please Give Us Your Bank Information
Where do you keep your business bank account?
Bank Telephone Number:		Bank Account Number:
Bank Officer/Contact:		How long has this account been open?
STEP 5 - Please Tell Us About Any Comparable Business Credit
Name:		Telephone Number:
Contact Person:		Account Number:
STEP 6 - Please Give Us Some Trade Reference Information
Reference #1	Reference #2		Reference #3
Business Name:	Business Name:		Business Name:
Phone Number:	Phone Number:		Phone Number:
Contact Person:	Contact Person:		Contact Person:
STEP 7 - Please Review Your Answers and Submit This Application

CORPORATE CAPITAL LEASING GROUP, INC
2490 Outrigger Lane
Naples, FL 34104
(800) 549-9570 / (239) 262-5184
(888) 248-0688 FAX