ECO-TERR Lease-To-Own Financing Online Application

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You may complete this form online, using the "Submit this application" button to submit it digitally.

Or you may Download, Print, Complete and Mail or FAX a hardcopy PDF application form.

Page 1 Leasing Application for Partnership, Corporation or LLC.
This form is for businesses that are Corporations, Partnerships, or Limited Liability Companies. If you are a Sole Proprietorship or other type of business, please return to the previous page and select another option.
Type of Applicant *	Corporation Partnership LLC
What are the most important benefits you anticipate from leasing? (click no more than three):	Long-Term, Fixed Rate Financing Keep Working Capital Free 100% deductibility of rental costs Conserving Cash and Credit Lines Off Balance Sheet Financing Matching equipment costs to revenue Estate Planning Other
Entity Name *
Address *
City *
State *
ZIP Code *
Federal Tax ID Number *
County Headquarters *
Phone Number *
Secondary Phone Number
Fax Number
E-Mail Address

Although no email address is required above, please include one if available. This is the most efficient method for us to communicate in written text messages.

Business's Primary Shareholder, Partner or Principal information.
The following information applies to the primary shareholder, partner or principal in your business.
First name *
Middle initial *
Last name *
Date of Birth (mm/dd/yyyy) *
Social Security Number (numbers only please) *
Primary personal information. *
Primary's address
Primary's City
Primary's state
Primary Phone Number
Primary's other phone number
Primary's Fax number
Primary's E-Mail Address
Primary's ZIP code

If the address and other information of this primary person is the same as the business information, please check the "Same as Business" checkbox and continue to the next page.

Other Shareholder, Partner or Principal information.
If no other Shareholder, Partner or Principal will be included in this application, please select the "No Other" checkbox below and continue to the next page.
Would you like to include another person on this application?
Other's First Name
Middle initial
Last name
Date of Birth
Social Security Number
Other's personal info
Address
City
State
Other's ZIP code
Other's main phone
Other's second or cell phone
Other's email address
If more than two (2) Shareholders, Partners or Principals, check this box.	No more applicants required More applicants, will send FAX More applicants, will send E-mail More applicants, will mail to ECO-TERR

It is not required to include any person in this application except the Primary Partner, Shareholder or Principal. This "Other" person is optional. If you would like to include more than the Primary and "Other," please check the box immediately above, then continue below. After you have completed the entire application and submitted it, you may then visit the ECO-TERR Contact page for Email, FAX or Mail information.

Equipment Lease Information
This page will ask for information about the equipment you wish to lease. Not all fields are required, but please provide as much information about the equipement as possible. Thank you.
Type of equipment *
Year
Make (such as Massey, Case, etc.)
Model Number
Serial Number or VIN
Dealer's Business Name (required) *
Dealer Phone Number (required) *
Contact person at the Dealership
Dealer FAX number
Dealer E-Mail address
County in which Equipment will be used or located
County Location Details
State of this Equipment's use or location
Is item leased to be used for custom work?
Business Insurance Carrier Name
Insurance Contact person
Insurance Contact's Phone Number

The next page will ask you about the Business Financial information. Please include as much as is possible: the more you are able to provide, the the faster the application process will proceed.

Terms of the Requested Lease
This page will ask you for details about the lease that you are requesting, such as "How Many Years," "Payment Schedule," etc.
Terms of Lease (required) *
Payment Frequency (required) *	Monthly Quarterly Semi-Annual Annual
Lease Factor Quoted by Dealer (if any, not required)
Residual Quoted (if any)
Who Will handle the closing? (NOT required)	The Dealer AgStar Financial Services Not Known
Estimated Equipment Delivery Date (if known)
Do you have any comments or Special Structuring Requests?
I/We certify that the information provided is correct to the best of My/Our knowledge... (required, see the "I/We Certify" link at the bottom of this page for full text).
By submitting this application you are not obligated to obtain this lease (check required).	I/We understand that by completing this application, we ARE NOT OBLIGATED to obtain this lease.
You will be notified by e-mail of action taken on your lease request (check required).	Yes, I understand. For additional questions or information I may contact ECO-TERR directly at leasing@ecoterr.com
By clicking submit, I (we) acknowledge that I (we) have read and authorize this application as well as a credit bureau (required).	I/we have read the application, and authorize a credit report inquiry.

Thank you for submitting an ECO-TERR lease application. You will be notified by e-mail of action taken on your lease request. For additional questions or information, please send an email to: leasing@ecoterr.com

LINKS:
1) Financial Supplement (if requested by AgStar or by the Dealer).
2) Full Text of Agreements implied by submitting this form: I (We) certify that the information provided is correct to the best of my (our) knowledge. I (We) understand that I (We) may be required to supply additional information and to provide security for the requested financing. In conjunction with this application, I (We) agree and consent that dealer/lender may obtain a credit report and any other information relating to my (our) financial position. Any person or firm is hereby authorized to provide such information requested by dealer/lessor. Applicant hereby authorizes AgStar to provide the information contained in this application and any supplemental financial or other information provided by applicant in connection herewith, if any, to other financial institutions for credit analysis purposes.

NOTE: if you currently own or manage an agricultural or equine business, please consider using our ECO-TERR Lease-To-Own program for your other products and services.

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Business Financial Information
This page will ask about the business's finacial status.
Gross Farm or Business Income (required) *
Non-Farm Income (required, if none enter zero) *
Total Assets (required, business assets only) *
Total Liabilities (required, business liabilities only) *
Do you have any legal actions pending? *
Legal Actions Details
FINANCIAL SUPPLEMENT (Yes or No required, see 'DETAILS" below) *	No "Financial Supplement" is required Yes, I will download and FAX the "Financial Supplement"

Complete this form, you may Download and Complete the "Financial Supplement" form afterwards. DETAILS: the Financial Supplement may have been required. If so, please see the link titled "Financial Supplement" at the bottom of this page to DOWNLOAD that form.