APPLY FOR CREDIT - EF. Smith & Son | Restaurant Equipment

Restaurant Equipment, Restaurant Supplies, Bakery Equipment, Bar Equipment and Bar Supplies

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Credit Application

Thank you for allowing us to provide your company with lease financing for your business equipment needs. Please fill out the information requested below. You will be contacted by us or by Kingswood Leasing, Inc. as soon as a credit decision has been made. All applications are verified by Kingswood Leasing, Inc.

E-Mail Address (*)
Please, fill with a valid e.mail!	Enter your e-mail address to receive a confirmation letter.

Business Information

Company Name
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Doing Business As (DBA)
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Address Line 1 (*)
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City (*)
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State-Province (*)
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Zip - Postal Code (*)
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Country
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Company Phone (*)
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Contact Name (*)
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Contact Title (*)
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Contact Cell Phone
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ContactE-mail
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Contact Phone (*)
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Fax (*)
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Company Web Address
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Business Structure
Date Company Formed (mm/yyyy)
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Lease Detail

Amount (*)
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Desired Term Length in Months	12 24 36 48 60
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Desired Payment
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Equipment Description
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New or Used	New Used
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Owner(s) - Principal(s)

Title

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First Name (*)

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Middle

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Last Name (*)

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Ownership %

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SSN - SIN (*)

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Birthdate

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Street Number (home)

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Street Direction (home)

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Street Name (home)

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Street Type (home)

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City

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State-Province (*)

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Zip/Postal Code

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Phone (*)

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Fax

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Title

First Name (*)

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Middle

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Last Name (*)

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Ownership %

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SSN - SIN (*)

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Birthdate

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Street Number (home)

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Street Direction (home)

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Street Name (home)

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Street Type (home)

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City

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State-Province (*)

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Zip/Postal Code

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Phone (*)

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Fax

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Bank References

Bank Name (*)

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Contact

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Phone (*)

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Fax

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Account Name

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Account Type

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Account Number

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Vendor Information

Vendor Name
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Address
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City
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State
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Zip
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Sales Rep
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Phone
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Cell Phone
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E-mail
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Authorization

Authorization (*)
By checking this box, each undersigned individual(s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to Kingswood Leasing, Inc. or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purpose of update, renewal or extension of such credit and for reviewing or collecting the resulting account. A photostatic or facsimile copy of this authorization shall be as valid as the original.
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Antispam Check

Invalid Input In order to submit this application, please key in the access code you see displayed to the left. To cut down on spam and protect the privacy of our customers, we have implemented this process. The access code you see is provided in graphic format and cannot be read by a malicious script. By taking a moment to key in the access code you are doing your part to eliminate SPAM.