JX | Apply for Lease and Rental Credit

JX Financial
PO Box 409, Waukesha, WI 53209
Phone 800-448-2262

JX Lease & Rental App

Credit application for JX lease and rental

By marking this box, I consent to do business electronically with JX
Type of Business*
Company Information
Full Legal Name of Business*
FEIN*
Billing Address*
Billing Address

Street Address Address Line 2 City State ZIP Code
Phone*
Cell
Fax
Email*
Company Principals/Registered Agents*
Would you like to receive E-Statement Invoices?
Do you have any additional documents you would like to submit?
Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 200 MB.
Guarantor Information
Name(s) of Guarantor(s)*
First Last First Last
Billing Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Cell
Email*
Secondary Email
Date of Birth*
MM slash DD slash YYYY
SSN*
What are your Needs?
Are purchase orders required?
Estimated Monthly Credit Requirements
Number of Units Needed (Rentals Only)
The above information is given for the purpose of inducing JX Leasing, Inc to provide rentals, leases, parts, and services, and is warranted to be true, accurate, and complete. JX Leasing, Inc may reject any application in its sole discretion. We hereby authorize all persons or entities named above to release complete financial information regarding the applicant or the guarantor to JX Leasing, Inc customer account terms and conditions attached hereto.
Signature*

Please provide your authorized personal signature here
Date*
MM slash DD slash YYYY
*Individual Personal Guarantee*
In consideration of your sales of parts, rentals, leases, and/or provision of services, I personally guarantee and bind myself to pay to you on demand and sum which the "business" named above fails to pay. It is understood that I am to pay you on demand, and that this guaranty is a continuing and irrevocable guarantee for such indebtedness and is a guarantee of collection and not of payment, and that by my signature below I hereby waive notice of default, non-payment and notice thereof and consent to any modification or renewal of this agreement hereby guaranteed.
Signature*

Please provide your authorized personal signature here
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM slash DD slash YYYY
SSN*
Signature*
Address
Street Address Address Line 2 City State ZIP Code
Date of Birth
MM slash DD slash YYYY
SSN
Are you interested in receiving updates on any of the following?
- New/Used Truck Specials
- Lease/Rental Specials
- Parts/Service Specials
CAPTCHA

Save and Continue Later

JX Lease & Rental App

Company Information

Guarantor Information

What are your Needs?

*Individual Personal Guarantee*

Individual Personal Guarantee