Freedom Leasing

Freedom Leasing

Let the professionals at Freedom Leasing, provide you with a unique leasing experience that will keep you coming back for years to come. Whether its vehicles or equipment you need, our experts are ready to assist you in obtaining it. The choice is your's, choose Freedom Leasing.

Freedom Leasing

Vehicle or Equipment of Interest

Year:

Make:

Model:

New/Used:

New

Used

Stock #:

Purchase or Lease:

Purchase

Lease

Lease Miles Per Year:

Down Payment:

Trade In Information

Year:

Make:

Model:

Mileage:

Note: All businesses complete this section

Type of Organization:

	Corporation S		LLC		Partnership
	Corporation C				Non-Profit

Tax ID Number:

Year End PBT:

Legal Business Name:

Type of Business:

Date Estab:(mm/yy)

Gross Monthly Income:

Physical Address:

City:

State:

Zip:

Phone:

Billing Address:(if other than above)

City:

State:

Zip:

Phone:

Garage Address: (if other than above)

City:

State:

Zip:

Phone:

State of Organization:

Email Address:

Trade Name/DBA/Parent Co:

Phone:

Principal Name (1):

Address:

Title:

% Ownership:

Principal Name (2):

Address:

Title:

% Ownership:

Principal Name (3):

Address:

Title:

% Ownership:

*If more than 3 principals please email them to info@freedomleasing.com

Fleet Management Contact

Title:

Email Address:

Address:

City:

State:

Zip:

Phone:

Insurance Information

Insurance Company & Address:

Agent Name:

Phone:

Bank Reference

Bank Name & Address:

Checking Acct#:

Savings Acct#:

Bank Phone:

Auto Financing or Other Credit Sources

Name of Company:

Address:

Account No:

Unpaid Bal:

Phone:

Name of Company:

Address:

Account No:

Unpaid Bal:

Phone:

Name of Company:

Address:

Account No:

Unpaid Bal:

Phone:

Note: Sole Proprietorship or Guarantor complete this section

Individual's Name:

Social Security No:

Date of Birth:

Present Address:

City:

State:

Zip:

Phone:

Type of Residence

Time in Residence

	Own Home		Living w/ Relatives
	Buying Home		Lease/Rent

Years:

Months

Driver's License No

State

			Time on Job
Alternate Phone No:	Employer's Name:	Employers Phone No:	Years:	Mos:

			Time on Job
Previous Employer (if less than 2 years)	Address:	Employers Phone No:	Years:	Mos:

Monthly Income:

Secondary Income:

Source:

Gross Monthly Income:

Mortgage Holder/Landlord:

Address:

Contact:

Mo Payment:

Phone:

Bank Name & Address:

Checking Acct#:

Savings Acct#:

Bank Phone:

Name & Address of applicant's nearest relative not in houshold:

Relationship:

Home Phone:

Name & Address of applicant's non-related reference known over 1 year:

Relationship:

Home Phone:

By clicking "Submit", you acknowledge the terms and conditions listed below

By clicking "Submit", you submit and certify that all of the statements in this application is true and correct and is provided for the purpose of obtaining credit. You authorize us to begin a credit investigation, including obtaining your business credit report(s) and/or consumer credit report(s), and to forward your application to lenders, financial institutions, or other third parties in order to process your application. We, Freedom Leasing, LLC, may obtain information about you and/or the business as described in this notice, which we handle as stated in this privacy policy notice. This does not apply to information obtained in a non-financial transaction.

We collect nonpublic personal information about you and/or the business from the following sources: information we receive from you on applications or other forms in connection with a financial transaction, Information about your transactions with us, our affiliates, or others, and information we receive from a consumer reporting agency.

We do not sell customer or consumer information to any third party. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others.

We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

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