Accelerate Your Broker Journey With VFI Corporate Finance

Business Information

Company's Legal Business Name*

Address*

Street Address City State ZIP Code

Phone*

Contact*

Information on Principal

Corporation Only? (must be selected, even on corporation only transactions)*

Yes
No

Principal 1 Address:*

Street Address City State ZIP Code

Ownership*

Email

Bank Reference(s)

Bank References

Bank Name	Bank Account Number	Bank Account Number	Phone	Fax

Funding Source Reference

Funding Source Reference(s)

Source Name	Account Number	Account Number	Phone	Fax

Other Information

Total Volume for the last 12 Monts*

Average ticket size*

% of volume from Direct Lessees*

% from Vendors*

Number of leases over $100,000

Number of employees*

Number of offices

Anticipated Volume to VFI Corporate Finance for the next 6 months:

*HAS THE COMPANY OR ANY PRINCIPAL FILED BANKRUPTCY?*

Yes
No

*HAS THE COMPANY OR ANY PRINCIPAL BEEN TERMINATED BY A FUNDING SOURCE FOR FRAUD, MISREPRESENTATION?*

Yes
No

For any yes answers to previous two questions please explain*

Consent*

I/We certify that the above information is true and correct and I/we authorize any bank, financial institution, or trade reference to release any information as may be requested by Varilease Finance, Inc. And or its assigns. I/We also hereby authorize Varilease Finance, Inc. to obtain other background or credit information and relate this information to others as necessary.

New Broker Application

Business Information

Information on Principal

Bank Reference(s)

Funding Source Reference

Other Information