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Agricultural Lease

Please supply the information requested below to help us determine the best leasing options for your particular needs. The information you provide is confidential and is used for the sole purpose of pre-approving your lease application. Call us at 1-800-595-1477 if you need help filling in this application.

Full Legal Name*
Operating Name*
Contact
Date Of Birth
Legal Description
Mailing Address
City / Town
Province
Postal Code
Phone*
Fax / Other
How Long Farming
Farm
Primary Operation
Percent
Secondary Operation
Percent
Tertiary Operation
Percent
Number of Livestock
Gross Yearly Revenue
Secondary Income
Acres Owned
Acres Rented
Acres Cultivated
Financial
Bank
Location
Phone
Contact
How long
Trade references
Company
Phone
Company
Phone
Equipment to be leased
Description
Estimated cost
Term
Dealer (if available)
Name
Contact
Phone
Fax / Other
Additional Comments / Equipment Information
Application Authorization and Consent
The applicant and/or co-applicant certify/certifies the above information is true and correct. By submitting this form by the method listed above, I/we consent to the obtaining from any credit reporting agency or credit grantor, such information as Accurate Leasing and/or it's agents or assigns may require an any time in connection with the credit hereby applied for, and consent to the disclosure at any time of any information concerning the applicant and/or co-applicant to any credit grantor with whom the applicant and/or co-applicant has financial relations.
Applicant*
Date*
Consent*
- I consent to Accurate Leasing to perform a credit check on my behalf.

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Thank-you for considering Accurate Leasing

Agricultural Lease

Farm

Financial

Trade references

Equipment to be leased

Application Authorization and Consent