AUTO DEALERSHIP LEASE APPLICATION
Application #
Fax completed application toll-free to: 877-777-9375
BUSINESS INFORMATION
Full Legal Business Name
Doing Business As
Business Address
City
Federal Tax ID Number
County
State
Zip
E-mail Address
Organization ID Number
Equipment Location Address (if different than above)
City
State
Contact
Gross Revenue
Nature of Business
Type of Business:
Proprietorship
Limited Partnership
Corporation – Date of Incorporation:
General Partnership
Limited Liability Corporation
Zip
State of Incorporation/
Registration
Telephone
Number of Employees
Year
Established
Years Under
Current Ownership
AFFILIATED DEALERSHIPS
Name
City
State
Brand
Years Established
Name
City
State
Brand
Years Established
Name
City
State
Brand
Years Established
Name
City
State
Brand
Years Established
SALES REPRESENTATIVE INFORMATION
Name
Position
Region
Tech Rep
Branch
Phone Number
Dealer
EQUIPMENT INFORMATION
Equipment Description
New
Used
Snap-on
Sun
Software
Trade-in
Amount to Finance
$
Terms/Months
Lease Acct. Number:
BUSINESS BANK INFORMATION
Name of Bank
How Long?
Telephone Number
Checking Acct. #:
Contact Officer
Loan Acct.#:
FLOOR PLAN REFERENCE
Name
How Long?
Contact
Telephone Number
CURRENT and/or PREVIOUS SNAP-ON ACCOUNTS
Account Number:
Account Number:
INSURANCE INFORMATION
Company Name:
Policy Number:
Agent:
Phone Number:
ECOA NOTIFICATION / RELEASE
If your application is denied, whether pursuant to this application or any other application for credit, you have the right to a written statement of the specific reason for the denial. To
obtain the statement, please submit a request in writing within 60 days from the date you are notified of our decision to: Snap-on Credit LLC and/or IDSC Holdings, LLC, 950
Technology Way, Suite 301, Libertyville, Illinois 60048; Attention: Credit Department. 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 martial
status, age (provided the individual has the capacity to enter into a binding contract), because of all or part of the applicant’s income is derived from any published 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, DC 20580.
THIS APPLICATION DOES NOT OBLIGATE APPLICANT OR IDSC HOLDINGS, INC. TO ENTER INTO A FINANCIAL AGREEMENT.
The undersigned grants permission to IDSC Holdings, Inc. and its affiliates, dealers, designees and/or assignees to obtain and share any information concerning applicant obtained from any
source, and agrees to supply without expense to IDSC Holdings, LLC, all financial statements and other supporting data required and warrants the accuracy of all information in the application and
other statements submitted.
Applicant authorizes the release of any credit information for the company and individuals listed above including credit reports, loan, lease, checking, saving, and trade accounts to IDSC Holdings,
LLC and/or any of its assigns.
Applicant warrants that the information stated above is true and correct. Authorization is granted to use, photo or fax copies of my signature to obtain
information.
Name:
Lease Application.doc 01/05
Signature:
Date: