Progressive Leasing

Rental Purchase Application No Credit Needed

All fields must be complete. Any field left blank will result in a pending response.
  • ALL INFORMATION IS REQUIRED APPLICANT INFORMATION

  • Date Format: MM slash DD slash YYYY
  • SOURCE OF INCOME (Must be verifiable)

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • BANK INFORMATION

    Must be a checking account, Prepaid & Payroll cards are not accepted.
  • Routing number is a NINE digit number located on the bottom left of check)
  • Date Format: MM slash DD slash YYYY
  • MONTH/YEAR
  • LIST TWO RELATIVES NOT LIVING WITH YOU

    By clicking "SUBMIT", I acknowledge that I am signing this Application electronically, and that my electronic signature is the legal equivalent of my written signature on the Application. I consent to be bound by the terms and conditions and important disclosures of the Application. I further understand that I am requesting that Prog Leasing, LLC, or its subsidiaries ("Progressive") enter a Lease-Purchase agreement with me. I hereby: (1) certify that all information I have provided or will provide is true, correct, and complete; (2) Consent to receive the disclosures contained in the Application electronically; (3) consent to Progressive contacting any person or company listed on my application to obtain information about me and fully release all parties from any claim that may arise out of such contact; (4) authorize Progressive to charge any credit or debit card (as described in the Application) in the amount of my Initial Payment if my application is approved and I execute a Lease-Purchase agreement with Progressive authorizing such a charge; (5) agree that Progressive may obtain one or more consumer reports ("Consumer Reports") in connection with either (a) my application, (b) any updates, renewals, or extensions of any transaction resulting from my application ("Transactions"), (c) the review or collection of any Transaction and (d) other legitimate business purposes related to any Transaction; (6) understand that upon my request (a) I will be informed whether Progressive obtained Consumer Reports and, if so, the name and address of the individual or company that furnished the Consumer Reports; (7) authorize Progressive to share information with the merchant whose goods I am interested in leasing ("Dealer") about Progressive's decision to offer me a rent-to-own transaction, and authorize Progressive to share my application information and lease terms with Dealer; and understand that I can withdraw my consent by closing this web session without submitting my application.
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