Computer Perfect
271 North Ave. - Suite 906
New Rochelle, NY 10801
Ph:(914) 633-8959
Fx:(914) 633-8968


 
Click here
to print application.
COMPANY INFORMATION
Company Name Months/Years in Business   /    
Address  
City State   Zip 
Telephone No. Fax No. Contact Person 
Nature of Bus.
  
Type of Business - - - >>> Corporation Proprietorship Partnership Non-Profit 
Landlord/Mortgage Holder at Business Location
 City/State
 Contact Person
PERSONAL INFORMATION ON OFFICERS OR PARTNERS
Principle One - Name Title Social Security No. Driver's License No.
Address    City     State    Zip   Country   Phone
.
Principle Two - Name Title Social Security No. Driver's License No.
Address    City   State    Zip    Country    Phone
COMPANY BANK REFERENCES
Name of Bank/Branch 
 How Long?
Checking Account #
Loan Account #      
Telephone No. 
Contact Officer
Previous Bank  
 How Long? Checking Account #
Loan Account #         		Telephone No. 
TRADE REFERENCES AND OTHER LEASES - 2 YEAR HISTORY
Name of Supplier City/State/Zip Phone Contact Office
Name of Supplier City/State/Zip
Phone
 Contact Office
Name of Supplier City/State/Zip
Phone
 Contact Office

By signing and faxing this application you authorize GE Capital to obtain information they may request concerning your credit history for the purpose of approving this application. I also request that the information be released verbally if necessary to expedite this process.

Principle 1:
Print Name: _______________________________ Title: ________________

Signature: ________________________________ Date: _____/_____/20___.

Principle 2:
Print Name: _______________________________ Title: ________________

Signature: ________________________________ Date: _____/_____/20___.
* Fax to (914) 633-8968
* Upon receipt, Computer Perfect will call you to discuss your monthly payment plan options.