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LEASE APPLICANT BUSINESS INFORMATION

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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: Professional License:
Business Type: Sole Owner Partnership Corporation Other
BUSINESS BANK REFERENCES - May be Required
LOAN & TRADE REFERENCES - May be Required
PERSONAL INFORMATION ON OFFICERS, PARTNERS OR GUARANTORS
Owner 1 Name: Title:
SSN: Tel:
Home Address:
City, State, Zip: ,

VENDOR & EQUIPMENT INFORMATION
Vendor will provide invoice:
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:

: