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Business Information
official name	"trading as" name
street address	city, state, zip
contact person	phone
fax	email
full years in business	business structure
nature of business	federal ID number
Personal Info of Owners
full name	title
street address	city, state, zip
social security number	% of ownership %
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2nd owner full name	title
street address	city, state, zip
social security number	% of ownership %
Bank & Credit References
business bank name	phone
account number	contact person
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credit reference #1	phone
account number	contact person
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credit reference #2	phone
account number	contact person
Equipment Information
equipment cost	new or used?
equipment description	additional funds needed for future purchases.	$
Comments / Special Requests
Is there anything else that you would like us to know?
By clicking the Apply button above, you understand and agree to the following: When we receive your Application we will review your credit history, both personal & business, to determine your eligibility for approval. When necessary, this review may include, but not be limited to, a review of the personal credit reports of the owners, a D&B report of the business, and contacting bank & credit references. We may reject this application if our review reveals that your business does not meet our requirements, at our sole discretion. If approved, your lease may be used to finance approved equipment, acquired from approved vendors, at our sole discretion.

Apply Now!	Take a minute to complete this simple lease application. Our computer will let us know that it has arrived right away! After some preliminary processing, we'll be back to you with a response!
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