On-Line Application

• Please provide the following contact information:

  Company
  Contact
  Title
  Street address
  Address (cont.)
  City
  State
  Zip/Postal code
  Business Age
  Work Phone
  FAX
  E-mail
  EIN (Fed'l Tax #)

• Enter your Equipment and Cost  in the spaces provided below.
  
  
  
  
• Enter your Equipment Vendor and Phone # in the space provided below.
  
  
  
  
• Enter your Bank Reference in the space provided below. (Include Account #, Contact and Phone Number)





• Enter your Previous or Additional Bank Reference in the space provided below. (Include Account #, Contact and Phone Number)





• Enter three trade credit references with contact name or A/C # and Phone
  
  

• Unless this is a public (stock exchange) corporation, the credit history of the principal(s) will 
  be an important part of the application.  In general, a credit report on the owner(s) will be:

  Excellent Good Average Fair Poor Select one Owner1 History of Bankruptcy

  Excellent Good Average Fair Poor Select one Owner2 History of Bankruptcy

  Excellent Good Average Fair Poor Select one Owner3 History of Bankruptcy

READ THIS NOTICE BEFORE CLICKING "SUBMIT" BELOW:

If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact the President of Keystone Equipment leasing, Inc. at the above address and telephone, within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

Notice: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into a binding contract); or because all or part of the applicant's income derives from any public assistance program or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity , Washington, D.C. 20580.

By clicking the "Submit" button below, you are acknowledging that you have read and understand the notice above, and that we have your permission to inquire into your company's credit history.  It may speed your application along if you also cut and paste (or simply type) the following onto your letterhead, sign and fax it to (845) 496-0630:

I (WE) HEREBY AUTHORIZE RELEASE OF CREDIT INFORMATION TO KEYSTONE EQUIPMENT LEASING, INC.  FOR THE PURPOSE OF EVALUATING CREDIT FOR AN EQUIPMENT LEASE.

      CLICK ONCE TO SUBMIT