| EQUIPMENT FINANCE LEASING APPLICATION |
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| Fax Application
to: 877.201.3127 |
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| GENERAL INFORMATION |
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| Complete
Legal Name: |
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Tax ID: |
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| Street
Address: |
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Phone: |
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| City: |
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State: |
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Fax: |
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| County: |
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Zip: |
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Revenues: |
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Years w/Current Owners: |
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No. of Emp.: |
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| Type of Organization |
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| Desired Term: |
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Lease Type: |
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| Description of
Business (Products and Services): |
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| Has the company
ever declared bankruptcy? |
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Have any of the guarantors ever declared
bankruptcy? |
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| Are there any
outstanding lawsuits? |
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Are there any outstanding tax obligations? |
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| OWNERS (20% or
more) |
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| Name |
Street Address |
Date of Birth |
US Citizen |
% Ownership |
Owners Gross Income |
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| Title |
City, State, Zip |
Social Security # |
Yes or No |
Net Worth |
Owners Salary |
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| 1. |
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| 2. |
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| BANK REFERENCE |
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| Primary Bank Name: |
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Contact: |
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Phone: |
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| Account
Number: |
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Avg. Bal.: |
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Acct. Type: |
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| Equipment Description: |
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| Equipment
Location: |
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| Supplier: |
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Phone: |
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Invoice Amt.: |
 
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| Equipment
Description: |
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| Equipment
Location: |
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| Supplier: |
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Phone: |
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Invoice Amt.: |
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| CUSTOMER CREDIT RELEASE |
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| NOTE: If the total requested is > $200,000 the
following information is required: (a) company’s Federal tax returns for the
past two years, (b) fiscal year-end financial statements, income statement,
balance sheet, statement of cash flows and any accountant notes for the past
two years, (c) most recent interim financial statement with comparable
previous period, (d) a personal financial statement for each owner or officer
listed, (e) the most recent personal Federal tax return for each owner of
officer listed. Huntington reserves
the right to request the same information for requests <= $200,000. If your credit references or credit history
may be verified under any other name(s), please indicate next to your
signature. THE OHIO LAWS AGAINST
DISCRIMINATION REQUIRE THAT ALL CREDITORS MAKE CREDIT EQUALLY AVAILABLE TO
ALL CREDIT WORTHY CUSTOMERS, AND THAT CREDIT REPORTING AGENECIES MAINTAIN
SEPARATE CREDIT HISTORIES ON EACH INDIVIDUAL UPON REQUEST. THE OHIO CIVIL RIGHTS COMMISSION
ADMINISTERS COMPLIANCE WITH THIS LAW. This
application is subject to the approval of, and any credit will be executed by
Huntington National Bank (“Huntington”) or its assigns. |
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| Your signature below is: (i) your company’s
application through you as its authorized signer for the credit products
indicated; (ii) your agreement to the terms and your representation that the
questions in the application have been answered fully and truthfully; (iii)
you and your company’s agreement as applicable to the Agreements and
Representations section below, and; (iv) you and your company’s understanding
that Huntington has no obligation to extend credit unless Huntington approves
this application. |
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| AGREEMENTS AND
REPRESENTATIONS |
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| 1. You
and company represent to Huntington that all information provided on this
application is true and correct, is not misleading, and does not contain any
material omissions. |
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| 2. You
authorize Huntington to obtain consumer reports on each of owner or officer
listed from consumer reporting agencies in considering this application, and
in conjunction with any extension of credit to company or review or
collection. Huntington may obtain
business reports on company. |
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| 3. You
represent to us that each of you is authorized to sign this application on
behalf of company, that each of you have the title indicated above, and that
no other person(s) is/are required to sign this application in order to bind
the company or to make any of the representations, agreements, or other
information in this application accurate, effective and legally binding. |
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| All owners and other principal representatives
must sign this application. If there
are more than four signers, please copy this application, complete and sign
this section, and attach the copy to this application. |
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| Owner______________________________________________________________________________________ |
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Date_______________ |
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| Owner______________________________________________________________________________________ |
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Date_______________ |
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