Documentation Request Form

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Sales Representative (You)
Lessee
Federal Tax ID #*
Billing Address*

Street Address
City

State
Zip Code
Equipment Address

Street Address
Address Line 2
City

State
Zip Code

Only required if different than Billing Address above.
Section Break
Equipment Cost*

Please enter a value between 2500 and 250000.
Term*
Purchase Option*
Buy Rate*

Select the applicable yield to American Leasefund listed on your Approval.
Commission Points*

Please enter a value between 0 and 10.
Sell Rate*

Equipment cost divided by payment per TValue.
Gross Payment*

Payment from TValue.
Tax Rate*

Enter sales tax rate as it appears on your Approval.
Advance Payments*

Enter dollar amount of advance payments from Approval.
Security Deposit*

Enter dollar amount of security deposit from Approval.
Lessor's Doc Fee*

Enter documentation fee due American Leasefund per Approval.
Broker Doc Fee*

Please enter a value between 0 and 350.

Enter additional documentation fee due Broker.
Customer Invoice Total*

Total of advance payments, security deposits, and documentation fees.
Commission Due Broker*

Total commission on equipment cost plus applicable Broker Doc Fee.

Guarantors*

List one per line
Officers*

List each officer per Secretary of State listing, along with their respective titles (one per line)
Vendor Name*
Vendor Address*

Street Address
City

State
Zip Code
Equipment Description*

Include serial numbers for each piece of equipment (matching invoice)

Contingencies
- Prefunding Required
- First Payment Differs From Regular Monthly Payment
- Titled Equipment
- Skip Payments Requested (Reflected on TValue)
- Sales Tax Exempt
- Private Party Sale
- Wire Transfer Requested (Upload Instructions Below)
Additional Comments
Vendor Invoice*

Sold to: American Leasefund, Ship To: Lessee’s Equipment Address, Reflecting No Sales Tax
TValue*

In PDF format, with payments rounded off to whole dollar amount
Title Copies

Copies of titles (for titled equipment)
Equipment Photos or Brochure
Equipment Condition Reports
Broker Invoice*
Additional File #1
Additional File #2
Additional File #3
Additional File #4
Captcha

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