Lease Application

BUSINESS INFORMATION

LEGAL NAME:  
DBA:
START DATE:
YEARS:
TYPE:
NATURE:
FEIN:
BILLING ADDRESS
ADDRESS:
CITY:
STATE:
ZIP:
DELIVERY ADDRESS
ADDRESS:
CITY:
STATE:
ZIP:
CONTACT
PHONE:  
FAX:
EMAIL:  
WEB SITE:
CONTACT:  

GUARANTOR INFORMATION

NAME:
TITLE:
SSN:
OWNERSHIP %:
ADDRESS
ADDRESS:
CITY:
STATE:
ZIP:
DL#:
PREVIOUS ADDRESS
ADDRESS:
CITY:
STATE:
ZIP:
DL#:
CONTACT
HOME PHONE:
Cell:
EMAIL:

BUSINESS BANKING INFORMATION

FIRST
BANK NAME:
ACCT NO:
PHONE:
OFFICER:
DATE OPENED:
ACCT TYPE:
SECOND
BANK NAME:
ACCT NO:
PHONE:
OFFICER:
DATE OPENED:
ACCT TYPE:
THIRD
BANK NAME:
ACCT NO:
PHONE:
OFFICER:
DATE OPENED:
ACCT TYPE:

TRADE REFERENCES

FIRST
FIRM NAME:
PHONE:
FAX:
OFFICER:
City & State:
HOW LONG:
HIGH CREDIT:
SECOND
FIRM NAME:
PHONE:
FAX:
OFFICER:
City & State:
HOW LONG:
HIGH CREDIT:
THIRD
FIRM NAME:
PHONE:
FAX:
OFFICER:
City & State:
HOW LONG:
HIGH CREDIT:

By submitting this application, I, authorize Taylor Sales and Service, LLC , it's agents or assigns to investigate my/our credit worthiness, as you deem necessary. I/We hereby authorize my/our references and/or any Credit Bureaus to release my/our information. I/We warrant that the information submitted herein is true and correct.

You may also submit your application to us by fax to (205)957-9725. Please click below for the form.

Lease Application

P.O. BOX 100459 | Birmingham, AL 35210
sales@go2tssi.com