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Leasing Types
Agricultural Equipment
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Construction Equipment
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Fitness Equipment
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Heavy Equipment
Industrial Equipment
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Getting a quick quot for your Equipment Leasing needs is easy thanks to our online form. Simply fill in the details below, and you will receive a quote within 24 hours. We have worked hard to ensure that our typical response time is very short. We thank you for your interest in LeaseBanker by FCL, and look forward to serving you today!

Lessee (Complete Legal Name and DBA)
Company Name:
DBA:
Phone:
Fax:
Address:
Address 2 :
City:
State:
Zip:
Years in Business:
Years under current ownership:
Nature of Business:
Company Type:
Sole Owner
Corporation
Partnership
Other
If Corporation, registered in state of:
Contact Person:
Contact Person's Title :
Vendor Information
Company Name:
Contact:
Phone:
Fax:
Address:
City:
State:
Zip:
Equipment Information and Terms
Equipment Cost :
Terms in Months:
Purchase Option :
Fair Market Value
10% Buyout
$1 Buyout
Monthly Payment :
Secuirty Deposit:
New Used
Description:
Equipment Location :
Principal Information
Name:
Title:
% Ownership:
Social Security No.:
Home Phone :
Address:
Address 2 :
City:
State:
Zip:
Name:
Title:
% Ownership:
Social Security No.:
Home Phone :
Address:
Address 2 :
City:
State:
Zip:
Bank References
List Previous Bank if Less than 2 Years At Current
Name of Bank:
Branch:
Contact.:
Account No.s :
Checking :
Savings:
Loan#:
Phone:
Name of Previous Bank:
Branch:
Contact.:
Account No.s :
Checking :
Savings:
Loan#:
Phone:
Trade References (Two Year History)
Name of Supplier:
City:
State:
Contact:
Acct. #:
Phone (No 800#) :
Name of Supplier:
City:
State:
Contact:
Acct. #:
Phone (No 800#) :
Name of Supplier:
City:
State:
Contact:
Acct. #:
Phone (No 800#) :
LandLord
Name:
Contact:
Phone:
Insurance Co.:
Insurance Co. Phone:

You may also contact us at:

FCL/LeaseFirst Inc.
5575 Poplar Ave. Suite 424
Memphis, Tennessee 38119
901-763-4080
(866) 340-7376
Fax 901-761-5862