Accord Leasing - apply-now

Equipment Leasing & Financing

473 Troy Pike,
Suite B
Covington, Ohio 45318

Toll Free Phone:
Local Phone:
Fax:

800-347-5991
937-473-5991
937-473-5990

Accord Financial Group will treat you as a valued customer. We value our customer relationships and have 25 years of experience to serve you well. Contact your representative, Danielle Martin, today and learn why our customers return to us for financing, year after year, since 1992.

Danielle Martin: Office: 800-347-4977 ext. 228, Cell: 937-417-1970, Email: danielle@accordlease.com

Commercial Equipment Application

Apply by Email or Fax: Commercial Equipment Application*
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Lessee / Applicant Information

Legal Business Name / Lessee:

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Type of Business:

Ownership:

Sales Tax Exempt?

Federal ID#:

Phone Number:

Fax Number:

Cell Number:

Contact:

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Date Established / Time In Business:

Annual Gross Revenues: $

Equipment Location (if different from above):

Best way to communicate with you:

Principal Information (President, Owner or Partners)

Name 1:

Address:

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SSN:

Home Phone:

% of Ownership:

Name 2:

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% of Ownership:

Vendor / Equipment Information

Vendor:

Address:

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Terms (months):

Equipment Condition:

Description of Equipment

Total Cost (w/o tax): $

Who are you working with at Accord?

Authorization

By clicking on the "Submit Application" button, the undersigned authorizes and instructs any person, consumer reporting agency or bank institution to compile and furnish the lessor with any information it may have in response to any inquiry from the lessor. I/We agree that the lessor may assign or transfer this credit application and the results to others for the purpose of making a credit decision. I/We further certify that under penalty of law that all of the above statements are true and complete and are for the purpose of obtaining credit.

Authorized Signer:

Second Authorized Signer:

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Second Signer's Title: