Credit Release Authorization

Rep Email

Credit Release Authorization

Financial Questionnaire Certification

Which Applies to You?*

Additional Owner or Signer
Application Expired & Completing New Release Form
Just Completed a Personal Financial Statement
Previous Customer Seeking More Financing
Phone (Verbal) Application or PreQual

Who Took Your Phone PreQual?

Your Name*

Business Name*

Business Address*

Street Address City State ZIP Code

Are you a homeowner or a renter?*

What do you estimate your personal credit score to be?*

How many auto loans (cars, trucks, etc.) have you had in the last 7 years?*

Does Your Business Have A Separate Tax ID #?*

Enter Your Tax ID #*

Social Security #*

Home Address*

Same as Business

Street Address City State ZIP Code

Consent for Credit Release Authorization*

I Agree.

I (We) authorize Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, American Leasing & Financial, Opportunity Financial Services, LLC, and/or its assigns and designees to investigate all credit information, including but not limited to consumer credit reports, bank and trade references and accountant information for purposes of processing this lease credit application. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. All principals hereto agree that an electronic copy of this application may be treated as and considered the same as an original. By choosing the Submit For Approval button below, you are giving your electronic signature in agreement with these terms. By providing your contact information, you agree to receive electronic communications from SLS. I (We) certify that the above information provided is true and correct.

ECOA NOTICE (TO BE RETAINED BY APPLICANT) Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of 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, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

By checking the "I Agree" box and typing my name as Digital Signature, I am indicating the above statements are true and accurate to the best of my knowledge. I hereby agree to the Credit Release Authorization and Verification Terms and Conditions, understanding it may be necessary to complete a review of my credit PRIOR TO receiving terms and payment options.

I hereby agree that this agreement may be electronically signed and that my digital signature appearing on this agreement is the same as a handwritten signature for purposes of validity, enforceability, and admissibility.

Consent for Credit Release Authorization*

Customer Agrees By Phone.

I (We) authorize Security Leasing Services, Inc. (aka SLS Financial Services), American Equipment Financial Services, LLC, American Leasing & Financial, Opportunity Financial Services, LLC, and/or its assigns and designees to investigate all credit information, including but not limited to consumer credit reports, bank and trade references and accountant information for purposes of processing this lease credit application. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. All principals hereto agree that an electronic copy of this application may be treated as and considered the same as an original. By choosing the Submit For Approval button below, you are giving your electronic signature in agreement with these terms. By providing your contact information, you agree to receive electronic communications from SLS. I (We) certify that the above information provided is true and correct.

ECOA NOTICE (TO BE RETAINED BY APPLICANT) Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of 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, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program; or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

By checking the "I Agree" box and typing my name as Digital Signature, I am indicating the above statements are true and accurate to the best of my knowledge. I hereby agree to the Credit Release Authorization and Verification Terms and Conditions, understanding it may be necessary to complete a review of my credit PRIOR TO receiving terms and payment options.

I hereby agree that this agreement may be electronically signed and that my digital signature appearing on this agreement is the same as a handwritten signature for purposes of validity, enforceability, and admissibility.

Type Your Full Legal Name*

Type Legal Name of the Rep Who Took the Verbal Authorization*

Attach Recorded Verbal Authorization*