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LGC
LEASING 5409 Sawgrass Ct. |
Complete,
Sign & Fax Back To: Larry Crofford Tel (972) 675-1995 |
| Company Name Address City St Zip Phone |
Vendor | Steve Karas and Associates 3341 E Turquoise Phoenix, AZ 85028 (602) 494-9090 Fax (602) 494-9134 Email skaras@cox.net |
TYPE OF COMPANY |
| CORPORATION, State
PARTNERSHIP PROPRIETOR YEAR FORMED FED TAX ID: |
| WHAT DOES COMPANY DO: |
| EQUIPMENT Cost (Excluding Tax) $ 2,995.00 NEW USED | |
LEASE TERMS |
| 12 |
TERMS REQUESTED MONTHS $ % TAX $ TOTAL $ |
PURCHASE OPTION FMV 10% $1.00 0THER |
ADVANCE RENTALS FIRST
PMT |
BANKING INFORMATION |
| BANK: PH: ( ) - CONTACT : CHECKING # LOANS # SAVINGS # BANK: PH: ( ) - CONTACT : CHECKING # LOANS # SAVINGS # |
TRADES |
| VENDOR 1. |
PHONE -
- |
CONTACT/ACCT NO.
|
OWNERS & OFFICERS |
OWNERS & OFFICERS |
| STOCK % NAME POSITION: ADDRESS: CITY: ST: ZIP: HOME PH: - SOC. SEC: - - |
STOCK % NAME POSITION: ADDRESS: CITY: ST: ZIP: HOME PH: - SOC. SEC: - - |
I / We have recently made application to LGC LEASING for the leasing and financing of certain equipment. In accordance with their standard procedure, they will be conducting an investigation of me / us on information I have provided. All information provided will be treated by LGC LEASING in strict confidence its source and contents will not be divulged and no responsibility therefore is attached to the bank, financial institution or trade reporting.
SIGNED:__________________________TITLE:____________DATE:____________
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