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Home Benefits of Leasing BLUE WATER LEASING PROVIDING FINANCIAL SERVICES FOR BARCOM CUSTOMERS     IF YOU NEED ASSISTANCE CALL 1.888.480.8532 TOLL FREE,  NO FEE FOR APPLICATION REVIEW    WE WILL CONTACT YOU AFTER REVIEWING YOUR INFORMATION. Contact Us

 
 

LEASE APPLICANT BUSINESS INFORMATION

You may wish to print this form and fax it to 1.703.584.7106

If you need assistance completing this form call toll free 1.888.480.8532

Company Legal Name:
DBA (If applicable)
Company Address:  
Phone Number:

Fax Number:

Email Address: Web:
City, State, Zip:  ,
Date of Incorporation: Federal Tax I.D. #:
Business Type: Sole Owner Partnership Corporation Other
BUSINESS BANK REFERENCES
Business Bank/Branch: Officer/Phone:
Account Number: Type: Checking Savings Money Market
Loans at this bank: Yes No     Date Opened:
Business Bank/Branch: Officer/Phone:
Account Number: Type: Checking Savings Money Market
Loans at this bank: Yes No     Date Opened:
LOAN & TRADE REFERENCES
Firm Name:   City:   State:
Contact:   Phone:
How Long?   High Credit
Firm Name:   City:   State:
Contact:   Phone:
How Long?   High Credit
PERSONAL INFORMATION ON OFFICERS, PARTNERS OR GUARANTORS
Owner 1 Name: Title:
SSN: Tel:
Home Address:
City, State, Zip: ,
Owner 2 Name: Title:
SSN:   Tel:
Home Address:
City, State, Zip: ,

VENDOR & EQUIPMENT INFORMATION

Vendor Name:
Contact:  Email:
Phone: Fax:
Address:  
City, State, Zip ,  
Equipment Description:  
Is the Equipment
New or Used?
Cost (without Tax):
Terms Requested: 2 Years 3 Years 4 Years 5 Years Special
Location of Equipment:

By submitting this application, I, authorize Blue Water Leasing, Inc. and it's agents or assigns to investigate my/our credit worthiness, as you deem necessary. I/We hereby authorize my/our references and/or any Credit Bureaus to release my/our information. I/We warrant that the information submitted herein is true and correct.
Name:

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