Equipment Leasing Application

1 Business Overview

2 Vendor & Equipment Info

3 Bank Information

4 Principal Information

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Vendor Information
Vendor Name*
Vendor Phone #*
Vendor Street Address*
Vendor City*
Vendor State*
Vendor Zip Code*
Equipment Information
Equipment Description*
Equipment Amount $*
Please enter a number from 10000 to 5000000.
Please enter a value between $10,000 and $5,000,000.
Terms Requested (# of Months)*
Please enter a number from 1 to 84.
Titled / Non Titled*
Equipment New / Used*

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Bank Statement Upload
Please Upload 3 Months of Statements to Expedite the Process and Get You Funded Faster!
Please Upload Your Last 3 Months of Business Checking Statements
Drop files here or

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Owner Information
First Name*
Last Name*
Owner Home Street Address*
Owner Home City*
Owner Home State*
Owner Home Zip*
Social Security Number*
Home Phone #*
Cell Phone #*
Owner Email*
Job Title
Ownership %*
Is there a Second Owner?*
Second Owner Information
Second Owner First Name
Second Owner Last Name
Second Owner Street Address
Second Owner City
Second Owner State
Second Owner Zip
Second Owner Social Security #
Second Owner Home Phone #
Second Owner Cell Phone #
Second Owner Email
Second Owner Title
Second Owner - Ownership %*
Please enter a number from 0 to 100.
Applicant Signature (s)
By signing below, each of the undersigned individuals authorize CMS Funding and its affiliates, successors, and assigns (collectively, "Bank") to obtain consumer credit reports relating to their individual credit history and/or creditworthiness I hereby certify that the information contained in this application is true and accurate to the best of my knowledge and authorize the release of the above information:
Applicant Signature
Date
Applicant Signature
Date
FAX: 973-200-2250 FOR IMMEDIATE APPROVAL
Lead Source
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Phone
This field is for validation purposes and should be left unchanged.

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Apply Now for Your Customized Equipment Leasing Solution