STARTER APPLICATION
   

GET THE PROCESS STARTED WITH OUR STARTER APPLICATION!


Please complete the short application below to get the process started.
Or you can download our Application Here.

IMPORTANT NOTE REGARDING CREDIT...

PLEASE NOTE ** that unless strong guarantors are available, Park Western will typically not consider deals which involve past bankruptices, repossessions, open tax liens, significant judgments and/or foreclosures. Also, please note that we do not serve the immediate El Paso, TX area.

Fields marked * are required
First Name*
Last Name*
Business Name*
Type of Business?*
Proprietorship
Partnership
Corporation
LLC
Address*
City*
State*
Zip*
Phone*
Email Address*
How long have you been in business?*
Please answer the following questions.
Have you ever had a repossession?*
YesNo
Have you ever filed bankruptcy?*
YesNo
Have you ever had any judgements against you?*
YesNo
Are there any suits or legal actions pending against you?*
YesNo
ARE YOUR TAXES PAID CURRENT?*
YesNo
Please describe the equipment that you are interested in financing/leasing?*
Who are you getting the equipment from? (if known)
What is their phone number?
Cost of equipment?*
Are you currently working with someone from our office? Is so, who?
Additional comments...
First and last name of person completing this form*
Access Code
Please Enter the Access Code *
  
FOR YOUR PROTECTION AND SAFETY, WE WILL CONTACT YOU BY PHONE TO GET SOCIAL SECURITY NUMBERS IF NECESSARY. By submitting this form above, you declare that the information provided on this application is true, complete and correct. Furthermore, by marking YES below, you hereby authorize banks, trade references and creditors to release credit information to Park Western Leasing, Inc. (PWLI) and/or it’s assigns. You further authorize PWLI and/or it’s assigns to obtain credit information including D&B reports and credit bureau reports. You understand that PWLI relies on information provided herein in advancing credit to me and/or the company I represent. You also understand that PWLI may search public records to aid in its consideration of my application, or as verification of information provided on the application.
  



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CONTACT

  13949 W. Colfax Ave., Suite 200
  Golden, Colorado 80401

  800-220-2970

  1400 E. Southern Ave., Suite 1035
  Tempe, Arizona 85282

  800-220-2955

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