+1 (706) 267-2552
info@geniuslifts.com
APPLICANT DETAILS
Are you an existing Genius Lifts customer?
YesNo
Genius Lifts Customer ID (if available)
Do you currently have any equipment from Genius Lifts?
Do you currently have any equipment under warranty?
Do you have an active maintenance plan?
Legal Business Name
DBA (if any)
Business Address
City
State
Zip
Mailing Address (if different)
Primary Contact Person
Title
Phone Number
Email
Business Type
Sole ProprietorshipPartnershipLLCCorporationOther
Federal Tax ID (EIN)
Year Business Established
Industry Type
LOAN REQUEST DETAILS
Loan Amount Requested
Down Payment Available
Purpose of Loan
Preferred Lease Structure
Fair Market Value (FMV) Lower monthly payments with flexible end-of-term options. Customer may return equipment, renew lease, or purchase at fair market value.Adjustable Advantage Reduced monthly payments based on a 60-month lease, with an evaluation and adjustment option at 36 months.Standard Purchase Option (SPO) Similar to FMV structure but includes a pre-stated purchase or buy-out amount prior to lease completion.Dollar Buyout Option ($1 Buyout) Customer gains full ownership of the equipment for $1 at the end of the lease term and benefits from depreciation advantages.Long-Term Rental (LTR) No capital investment required. Term ranges from 12 to 72 months. Equipment typically not recorded as liability. Maintenance may be included.
Preferred Lease Term
122436486072 Months
Include Maintenance?
Special Lease Instructions / Notes
EQUIPMENT DETAILS
Equipment Type
Manufacturer / Brand
Model Number
Condition
NewUsedRefurbished
Supplier / Dealer Name
Purchase Price
Serial Number (if available)
Installation Location
BANKING INFORMATION
Primary Bank Name
DECLARATION
I/We certify that all information provided is accurate.
Applicant Name
Date
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