COMPLETE LEGAL NAME OF ENTITY: (corporations please use EXACT registered corporate name.)
OWNERS/STOCKHOLDER INFORMATION: (Officers, partners, and/or Gurantors)
COMPANY BANKING: (Two Year History)
EQUIPMENT/VENDOR INFORMATION: (Include age of used equipment)
By continuing, the undersigned individual, who is either a principal of the credit applicant or a guarantor of it’s obligations, provides this written instruction Preferred Leasing or their nominees or assigns, authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile and authorize the above bank and references to release any information in consideration of this application and subsequently for the purpose of update, renewal or the extension of such credit or additional credit and for reviewing and collecting the resulting account. A Photostat or facsimile copy of this authorization shall be valid as the original. By signature below, I/we affirm our identity as the respective individuals identified in the related application. This application is for equipment to be used in my business.