PROVIDING YOU THE MOST STREAMLINED BUSINESS
LEASING SERVICE FOUND ANYWHERE
LEASE AUTHORIZATION NUMBER
CONSUMER LEASE APPLICATION
CUSTOMER INFORMATION
Name      
Street Address
City
State
Zip Code
Mailing Address
City
State
Zip Code
How Long There ?
Do You ? Or
Landlord Name  
Landlord Phone #
Social Security #
Date Of Birth
Home Phone #
APPLICANT # 2 (IF APPLICABLE)
Name    
Street Address
City
State
Zip Code
Mailing Address
City
State
Zip Code
How Long There ?
Do You ? Or
Landlord Name  
Landlord Phone #
Social Security #
Date Of Birth
Home Phone #
EQUIPMENT INFORMATION
Vendor Name
Address
City
State
Zip Code
Contact
Equipment
Cost
SCHEDULE OF PAYMENTS 
BASIC MONTHLY LEASE PAYMENT $   FOR    MONTHS
(PLUS TAXES AND TAX PROCESSING FEE AND LOSS OR DESTRUCTION WAIVER IF APPLICABLE)
BASIC MONTHLY LEASE PAYMENT $
(PLUS TAXES AND TAX PROCESSING FEE AND LOSS OR DESTRUCTION WAIVER IF APPLICABLE)
AUTHORIZATION, REPRESENTATIONS AND WARRANTIES

The undersigned applies for the lease indicated in this application. Everything stated in this application is correct S.C Equipment Funding, LLC. may retain the application whether or not the lease is approved. S.C Equipment Funding, LLC. and its Authorized Affiliates are authorized to check my credit and employment history for the purpose of determining my credit and for the further purpose of reviewing the account taking collection activity on the account, and skip tracing. S. C Equipment Funding, LLC. and its Authorized Affiliates are authorized to provide history information to others about my credit standing and your credit experience with me, including but not limited to credit bureaus, other companies, outside collection agencies and outside attorneys.