Apply on-line and submit, or print out this application, fill it in completely and mail or FAX it to:
Express Vehicle & Equipment Leasing
P. O. Box 26, Camarillo, CA 93011
Call (805) 384-0288 Fax (805) 384-2310
LEASE APPLICATION
SECTION A APPLICANT/GUARANTOR
LAST NAME
FIRST NAME
MIDDLE
BIRTHDATE
SOC SEC#
DRIVERS LICENSE
HOME PHONE
CELL PHONE
ADDRESS
CITY
STATE
ZIP
HOW LONG
PREVIOUS
ADDRESS
CITY
STATE
ZIP
HOW LONG
TITLE
EMPLOYER
ADDRESS
CITY
STATE
ZIP
WORK PHONE
HOW LONG
PREVIOUS
EMPLOYER
ADDRESS
CITY, STATE & ZIP
PHONE
HOW LONG
GROSS MO. INCOME
OTHER INCOME & SOURCE
TOTAL MO. INCOME
SECTION B SPOUSE/CO-APPLICANT
LAST NAME
FIRST NAME
MIDDLE
BIRTHDATE
SOC SEC#
DRIVERS LICENSE
HOME PHONE
CELL PHONE
ADDRESS
CITY
STATE
ZIP
HOW LONG
TITLE
EMPLOYER
ADDRESS
CITY
STATE
ZIP
WORK PHONE
HOW LONG
PREVIOUS
EMPLOYER
ADDRESS
CITY, STATE & ZIP
PHONE
HOW LONG
GROSS MO. INCOME
OTHER INCOME & SOURCE
TOTAL MO. INCOME
SECTION C MORTGAGE/LANDLORD
MONTHLY PAYMENT
MORTGAGE HOLDER
SECTION D CREDIT REFERENCES
BANK #1
CITY & STATE
PHONE
CONTACT PERSON
ACCOUNT NUMBER
SECTION D CREDIT REFERENCES
AUTO BANK #1
CITY & STATE
PHONE
CONTACT PERSON
ACCOUNT NUMBER
CREDIT RELEASE
I HEREBY AUTHORIZE OUR BANKS, TRADE REFERENCES, AND FINANCIAL INSTITUTIONS TO RELEASE
CREDIT INFORMATION TO LESSOR AND FURTHER AUTHORIZE LESSOR TO OBTAIN OTHER CREDIT INFORMATION
X_____________________________________________
Date
