Imachinegroup, commercial embroidery equipment, freejet, t-jet direct to garment printers

Lease Application

Business Information

Full Legal Name/Buisness Name:

Tax Identification:

Business Address:

City

State

Country

Zip

Address where equipment will be: (If different from above)(Street Address/City/State/Zip):

Contact Name and Title:

Phone Number:

Fax Number:

Business Description:

Years in Business:

Name (Personal Guarantor/Principal/Partner/Officer):

Social Security #:

Home Street Address:

City

State

Country

Zip

Phone Number:

What type of Business is this?

How long would you like the lease term:

What is your down payment:

Equipment Information

Total Estimated Equipment Cash Price:
$

Name of vendor and sales person:

Equipment Description: Embroidery Machine / Laser

Equipment Description (Mfgr/Model):

End of Lease Options (Fair market value, 10% due at end, $1.00 due at end)

Business Bank Reference

Business Bank Reference Name:

Checking/Loan Account #:

Phone Number:

Address (City, State):

Account/Loan Officer:

Personal Bank References:

Personal Bank Reference Name:

Checking/Savings Account #:

Phone Number:

Address (City, State):

Account/Loan Officer:

Trade Reference (Name/City/State/Phone Number):

1 :

2:

3:

Business Purpose
The undersigned represents that all information provided with this Application is true and correct and hereby authorizes us to obtain from third parties information Lessor deems necessary to arrive at a decision regarding this Application. Applicant certifies to us that it is applying for credit for business purposes, and not for personal, family use. I hereby authorize any bank or financial institution to release account or credit information to us.

Credit Information Release
By signing below, the undersigned individual as principal of and/or guarantor for the applicant authorizes us, its designee, assigns, or potential assigns, to review his/her personal credit profile provided by national credit bureaus in considering this application and for the purpose of the update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts.

By typing you name below you agree to all terms of this application:

Date:

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