Lease Application

Business Information

Legal Business Name Date Established Date Incorporated Legal Business Address How Long At This Address Email Location Of Equipment (If Other Then Business Address) Phone Number Fax Number Line Of Business Previous Bus. Affiliation (If In Business Less Then 3 Years) How Long Name Of Landlord Company Contact Phone Number

Ownership / Guarantor Information

Type Of Business (Proprietorship, Partnership, Corporation) Federal Tax Number / Business License Number Name % Ownership Title Social Security Number Home Address Home Phone Home Fax Name % Ownership Title Social Security Number Home Address Home Phone Home Fax

Insurance Information

Name Of Business Insurance Company Contact Phone Number

Trade References / Suppliers

Name Of Company Contact Phone Number

Bank References

Name Of Bank Contact Phone Number Account Number Bus/Personal

Vendor & Equipment Lease Information

Vendor Company Name And Address Contact Phone Number Allstar Petroleum Equipment,  4688 W. Jennifer #101, Fresno, Ca 93722 Dave Mendrin 800-660-5410 Terms Amount To Be Financed Description Of Equipment New/Used (Year)