Applications

Partnering with bsbFUNDING.

Important to set out the full legal name of Lessee

EQUIPMENT LOCATION

EQUIPMENT LOCATION Complete only if equipment will not be located at Lesseeā€™s billing address

PERSONAL INFORMATION ON MAJORITY STOCKHOLDERS/OWNERS

COMPANY BANK REFERENCES

MUST HAVE TWO YEAR HISTORY (Important to establish any loan history)

TRADE REFERENCES AND OTHER LEASES

TWO YEAR HISTORY (Important to establish high credit and payment history)

EQUIPMENT TO BE FINANCED

Attach separate list if necessary

VENDOR INFORMATION

LOAN TERM

AUTHORIZATION FORM:

By signing below, each undersigned individual (s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to Procure Financial Services dba bsbFUNDING. or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update, renewal or extension of such credit and for reviewing or collecting the resulting account. I authorize all deposit, borrowing, and trade information to be released to the Lessor. I represent all information is true, correct and complete. A photo static or facsimile copy of this authorization shall be as valid as the original.




a. Name (Please Print) -

b. Title -

c. Date -

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