Call: 414-327-2100
Email: info@seligleasing.com

EQUIPMENT LEASE CREDIT APPLICATION

Selig Leasing provides an online equipment lease credit application for your convenience. You may apply by mail, email, fax or web.

Use this application for commercial, industrial and over-the-road equipment leasing. Personal auto and truck leasees should use the Personal Credit Application.

TO APPLY BY MAIL:

  1. Print form from this PDF document:
    Credit Application (.pdf)
  2. Fill in all requested information.
  3. Mail completed application form to:
      Selig Leasing Company Inc
      2510 S 108th St
      West Allis, WI 53227

      

TO APPLY BY FAX:

  1. Print form from this PDF document:
    Credit Application (.pdf)
  2. Fill in all requested information.
  3. FAX completed application form to:
      414-327-0154.

TO APPLY BY WEB:

  1. Complete all required fields in form, below.
  2. Click Submit button.

TO APPLY BY EMAIL:

  1. Save this Word document:
    Credit Application (.doc)
  2. Fill in all requested information.
  3. Attach completed application to email and send to:

 
CUSTOMER
  Business Name *
 		 Business Phone # *
  Business Address *
  		City *
  		State *
 		 Zip Code *
  Contact Name *
 		 Title *
 
  Type of Business *
 		 Year Est. *  
  		Fed Tax ID # *
  Business Description *
  Principal Name *
 		 Social Security # *
  Address*
  City *
 		 State *
 		 Zip Code *  
 Home Phone # *
  2nd Principal Name  
 		 Social Security #  
  Address 
  City  
 		 State  
 		 Zip Code    
 Home Phone #  

EQUIPMENT
  Vendor Name *
 		 Phone # *
  Vendor Address*
  City *
 		 State *
 		 Zip Code *  
  Equipment Description *
  Equipment Delivery Location *
  Equipment      
Pricing: 		   Cost *
$  +  		   Tax *
$  =  		   Total *
$

LEASE
  Term *
 		 Resid. *
  Lease
Pricing:      		   Mo. Pymt. *
$  +  		   Tax *
$  =  		   Total *
$

REFERENCE
 
Bank References
  Bank Name *
 		 Account # *
 		 Contact *
 		 Phone # *
 
  Bank Name *
 		 Account # *
 		 Contact *
 		 Phone # *
 
 
Trade References
  Name *
 		 Contact *
 		 Phone # *
 
  Name *
 		 Contact *
 		 Phone # *
 

SIGNATURE AFFIRMATION
 
  I hereby authorize the use of the above information for the purpose of evaluating credit. All lease financing is subject to credit approval, documentation and acceptance.     
  Check box to    
authorize *
  		  
Applicant *
  		  
Title *
  		  
 
Today's Date
  
   

 

APPLY BY FAX :

1.  Print credit application
2.  Fill out form
3.  Fax to  414-327-0154

APPLY BY EMAIL :

1.  Save credit application
2.  Fill out form
3.  Email info@seligleasing.com

APPLY BY WEB :

1.  Fill out form at left
2.  Click SUBMIT button