Aztec Leasing Application
 

Aztec Financial, Inc. application for Lease

 
Aztec Finance
Lease Application Form

Acrobat Reader Version (pdf)
(Print, Fill out, Fax to 801.281.5484)


Please fill out the form completely, then follow the instructions
at the bottom of the form to submit your application.
 

Contact Information
(Company Name)
(Contact Name)
(Address)
(City)
(State)
(Zip)
(Area Code and Phone No.)
(Area Code and Fax No.)
(Area Code and Mobile No.)
(Equipment Location)
(County)
(Type of Business)
(Years in Business)
This company is a:

If corporation, please include:
(State of Incorporation)
(Year of Incorporation)

(Owner 1)
(SSN)
(Phone)
(Address)
(City)
(State)
(Zip)

(Owner 2)
(SSN)
(Phone)
(Address)
(City)
(State)
(Zip)

(Bank)
(Branch)
(Phone)
(Account No.)

(Bank)
(Branch)
(Phone)
(Account No.)

(Trade Reference 1)
(Contact)
(Phone)

(Trade Reference 2)
(Contact)
(Phone)

(Trade Reference 3)
(Contact)
(Phone)

(Landlord/Mortgage)
(Phone)

(Vendor)
(Salesperson)
(Phone)
(Address)
(City)
(State)
(Zip)
(Type of equipment)
(Cost)
Purchase Option:

Term of Lease: 


PROVIDE COMPLETE & ACCURATE INFORMATION TO AVOID DELAYS IN PROCESSING. PLEASE CONSIDER THIS DOCUMENT OR A FAX THEREOF AUTHORIZATION TO FURNISH A COMPLETE HISTORY OF ALL ACCOUNTS, LOANS, TRANSACTIONS, TRADE INFORMATION, BALANCES OR OTHER FINANCIAL INFORMATION RELATIVE TO ANY ACCOUNT WE MAY HAVE WITH YOU. I/WE RELEASE AZTEC FINANCIAL, INC. OR ITS ASSIGNS FROM ANY LIABILITY ARISING FROM ITS CREDIT INVESTIGATION.

(Applicant 1 Name)                            (Date)

Applicant 1 Signature

(Applicant 2 Name)                            (Date)

Applicant 2 Signature

Instructions:

  1. Re-check your information to assure that it is accurate and complete

  2. Print this page from your computer

  3. Check printed pages and fix areas made unreadable due to page breaks during printing

  4. Sign and date the form as indicated

  5. Send in your completed application:

    — BY FAX - You can fax your completed application to: 801-281-5484

    — BY MAIL -You can mail your completed application to:

AZTEC FINANCIAL INC.
542 W. Confluence Avenue
Salt Lake City, UT 84123

Toll Free: 
Phone: 
Fax:  

 800-644-9537
801-261-1798
801-281-5484


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