APPLICATION

Please complete in and sign the application below. Fields marked with an * are required.

Should you require information or assistance you can call 404-723-7222 or email brian@rogueleasing.com

This form is an application with no guarantee of approval

View more information on Rogue Financial group here https://rogueleasing.com/

GENERAL INFORMATION

Save & Return

Use an account to return to saved work.

Owner 1

First Name *

Last Name *

Mobile Number *

Email *

Date of Birth *

Social Security Number

(Providing your SSN will make credit approval faster.

Your information is always protected!

Address *

City *

State *

ZIP *

Owner 2

First Name

Last Name

Mobile Number

Date of Birth +

Email

Social Security Number

(Providing your SSN will make credit approval faster.

Your information is always protected!

Address

City

State

ZIP

BUSINESS INFORMATION

Legal Company Name *

Operating Name

Owner *

Business Type *

Select

Business Phone *

Business Address (same as registered address) *

Yes

No No

Federal Tax ID

Business Address

City

State

ZIP

Average Annual Revenue *

Business Email *

Years in business *

EQUIPMENT INFORMATION/ VENDOR

If you have a Vendor, please complete all relevant information below. Otherwise just select Pre-approval and put the type of equipment you are looking for

New or Used

New

Used

Vendor

Yes

Pre-Approval

Quantity

1

2

Other Other

Equipment Cost

Year, Make and Model

VENDOR INFORMATION

Name

Sales Rep

Web Address

Street Address

City

State

Zip Code

Phone Number

Email Address

SUPPORTING DOCUMENTATION

Proof of Identity (Drivers etc.)

Bank Statements (Month 1)

Bank Statements (Month 2)

Bank Statements (Month 3)

Tax Return

Equipment Invoice

IX. Acknowlegement and Agreement

By submitting your application, you certify that the information provided is correct and hereby authorize the release of any and all credit information pertaining to the above credit application to Rogue Financial Group and/or any lender or funding source that may be utilized. Such authorization shall extend to obtaining credit information, including from personal credit bureaus as well as bank and trade references.

You further acknowledge that you (i) agree to Rogue Financial Group’s Terms and Conditions and Electronic Consent and Contract Binding Policy. (ii) consent to receiving calls and messages from Rogue Financial Group or its representatives or agents at any telephone numbers that you provide (including any mobile telephone numbers), and (iii) acknowledge you have read and consent with Rogue Financial Group’s Privacy Policy. *

Agree

Disagree

Borrower's Name *

Date (MM/DD/YYYY) * +

Signature *

clear