Avalon Leasing Avalon Leasing

Thank you for allowing Avalon Leasing to provide your company with attractive leasing for your equipment needs. Please complete this secure application below, noting * fields are required. You will be contacted by Avalon Leasing once a credit decision has been made, which is generally inside one business day. Please call us at (888) 332-8007 in the event you have any questions or require assistance.

This credit application is encrypted and transmitted securely to Avalon Leasing using the latest internet security technology. It is processed only for credit investigation purposes. Our privacy policy is stated below.

Email Notification
E-Mail Address*


Leasing Customer Information
Company Name*
DBA if applicable
Street Address*
City, State, Zip* ,,
Company Phone* -- Ext.
Company Fax* --
Contact Name*
Contact Title*
Nature of Business*
Company Web Site
Business Structure* Corp.LLCPartnershipSole Prop.NFP
Years in Business*


Credit Information
Company Bank Name*
Account Number*
Bank Phone* --
Bank City, State ,


Principal Owner(s)
All 20%+ owners must be listed

Owner #1
Full Name
Social Security Number
( 9 digits, no spaces )
Residence Street Address*
City, State, Zip ,,
% Ownership


Owner #2
Full Name
Social Security Number
( 9 digits, no spaces )
Residence Street Address
City, State, Zip ,,
% Ownership


Equipment and Lease Terms
Amount Requested*
Describe Equipment
Type of Lease* $1.00 option FMV option Business Loan unsure
Desired Term*      or Unsure Of Term Desired
Customer Comments


Vendor Information
Vendor Name*      or Vendor not Selected
Vendor Address
Vendor City, State, Zip ,,
Contact Person or Rep
Vendor Phone
Vendor Email
Estimated Delivery Date


Authorization *
By checking this box, the applicant(s) represent that all information provided with respect to this Application is true and correct. Each principal or personal guarantor listed provides Avalon Leasing ( or their assignee or potential assignee) written authorization to obtain from third parties personal credit reports and profiles for the purpose of extending, renewing or updating credit to the applicant(s). The Applicant authorizes their borrowing, banking, depository and trade information to be released to Avalon Leasing by phone or fax. A facsimile, photocopy, or electronically submitted copy shall be as valid as the original subject to the current law.


Privacy Policy:
All information sent to Avalon Leasing is used for the sole purpose of determining a credit decision pertaining to the Lease or Loan request. We may share this information confidentially with our funding sources who are banks and/or other lessors. Your personal information is not sold, marketed, or shared otherwise. Avalon Leasing respects your privacy, and always protects their client's data with the utmost of confidence accordingly.