Tyent USA Consumer Lease Application

INITIAL FUNDING INFORMATION

Equipment Type *


GUARANTOR INFORMATION (Equipment User)

Applicant Name *
SS# *
Date of Birth
Home Phone *
Work Phone
Employer
Title
Email *
Street Address 1 *
Street Address 2
City *
State *
Zip Code *
Own Residence Yes   No  
Years At Residence
Percent Owner %
The undersigned applies for the Lease indicated in this application. Everything stated in this application is correct. Tyent USA, LLC may retain this application whether or not the Lease is approved. Tyent USA, LLC and its Affiliates are authorized to check my credit for the purposes of determining my credit worthiness at the time of my application or thereafter in connection with the same transaction or extension of credit and for the further purpose of reviewing the account, taking collection activity on the account, and skip tracing. Tyent USA, LLC and its Authorized Affiliates are authorized to provide history information to others about my credit standing and your credit experience with me, including but not limited to credit bureaus, other companies, outside collection agencies and outside attorneys.

I agree to the terms mentioned above.