To apply, please complete the online form below. Someone from Jaffe Finance will contact you to get the process going. Or, you can download the appropriate forms and mail them to us.

Download Application Forms

You can download and complete the lease forms (in Adobe PDF format):
  acrobat

Online Loan Process Activation Form

Personal Information

 

Practice/Business Information
Name:     Business Name:  
Phone:     Structure:  
eMail:     Phone:  
             
Home Address:     Address:  
         
City:     City:  
State:     State:  
Zip:     Zip  
 
Date of Birth:   Federal Tax ID:
Social Security Number:   Annual Gross Income:
Annual Income:   Years in Business:
Net Worth:      
             
:   Initials          
By initialing this application in the box provided, I hereby authorize the release of all credit information, including loans, leases, checking, savings, trade references and personal credit history, pertaining to the company, its principles, and the people listed below to Jaffe Finance Company, LLC Inc. and/or its designees or assignees. Such authorization shall extend to subsequent updates for credit and collection purposes.
Please be sure to complete all fields or you will receive an error message.
         
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