LEASE APPLICATION
LESSEE (complete legal name of entity. If a corporation, use EXACT registered corporate name.)
CompanyDBA
Business Address City
State Zip
Telephone# Contact Person
Number of Years in Business (present ownership)
Nature of Business Number of Employees
Type of Business Corp (reg. in state of _____ ) Municipality Non-Profit Proprietorship Partnership
PERSONAL INFORMATION ON OFFICERS, PARTNERS, OR GUARANTOR
Name Title Social Security#
Home Address City State Zip
Home Telephone #
COMPANY BANK REFERENCES
Name of Bank/Branch City/State
Checking Acct# Loan Acct#
Telephone# Contact Officer
TRADE REFERENCES
Name of Suppliers City/State
Telephone# Acct#
VENDOR INFORMATION
Northeast Restaurant Equipment 94 Industrial Drive Mashpee, MA 02649 508-477-3433 508-477-5515 Joseph LaVoie
Equipment Description
Price Term Factor Sales Tax
Monthly Payment $1.00 Purchase Option
Advance Payments 10% Purchase Option
RELEASE I verify the accuracy of the above information and authorize Marlin Leasing to contact my bank(s) to verify the acceptability of my credit.
Signature Title Date
Home AF-AFC- 3D-S ADC-66 ET-AF-M ET-AF-3 ADS HT-25 ADC-44 5AG AFB Super Q Glasswasher ES Series Lease Request
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