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File: Lease Application2.htm
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> <html><head><title>Lease Application</title> <script language="JavaScript"> function checkrequired(which) { var pass=true; if (document.images) { for (i=0;i<which.length;i++) { var tempobj=which.elements[i]; if (tempobj.name.substring(0,8)=="required") { if (((tempobj.type=="text"||tempobj.type=="textarea")&& tempobj.value=='')||(tempobj.type.toString().charAt(0)=="s"&& tempobj.selectedIndex==0)) { pass=false; break; } } } } if (!pass) { shortFieldName=tempobj.name.substring(8,30).toUpperCase(); alert(""+shortFieldName+" is required to submit this form."); return false; } else return true; } </script></head><body alink="#9b735a" bgcolor="#ffffff" link="#00466b" vlink="#00466b"> <form onSubmit="return checkrequired(this)" action="default.asp" enctype="x-www-form-encoded" method="post"> <input name="remove" value="Action,remove" type="hidden"> <center> <table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td><img src="Lease Application_files/left_crb.gif" alt="" width="21" height="22"></td> <td style="border-top:#025256 1px solid"> </td> <td><img src="Lease Application_files/righ_crb.gif" alt="" width="21" height="22"></td> </tr> <tr> <td style="border-left:#025256 1px solid"> </td> <td><table border="0" cellpadding="0" cellspacing="0" width="600" > <tbody> <tr> <td valign="bottom" width="30%"> <table border="0" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td><font face="Arial, Helvetica, sans-serif" size="-2"><strong>310 Shearer Blvd.</strong></font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Cocoa, FL 32922</strong></font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Ph: 888.999.7577</strong></font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Fax: 866.237.4208</strong></font></td> </tr> </tbody></table> </td> <td align="center"> <table border="0" cellpadding="0" cellspacing="0"> <tbody><tr> <td align="center"><img src="Lease%20Application_files/tol.gif" alt="" border="0"></td> </tr> <tr> <td align="center"><font face="Arial, Helvetica, sans-serif" size="-1"><strong>LEASE APPLICATION</strong></font></td> </tr> </tbody></table> </td> <td valign="bottom"> <table border="0" cellpadding="0" cellspacing="0" width="100%"> <tbody><tr> <td align="right"><img src="Lease%20Application_files/lp_logo_50h.gif" alt="" border="0"></td> </tr> <tr> <td valign="bottom"> <table border="0" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td align="right"><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Richard Wilmarth Ext. 223</strong></font></td> </tr> <tr> <td align="right"><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Toll Free: 800.942.9830</strong></font></td> </tr> <tr> <td align="right"><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Application Fax: 720.898.9200</strong></font></td> </tr> </tbody></table> </td> </tr> </tbody></table> </td> </tr> </tbody></table></td> <td style="border-right:#025256 1px solid"> </td> </tr> <tr> <td colspan="3" valign="top"><img src="Lease Application_files/line.gif" alt="" width="642" height="1"></td> </tr> </table> � <table border="1" cellpadding="6" cellspacing="0" width="635"> <tbody><tr bgcolor="#006469"> <td align="center"><font color="#ffffff" face="Arial, Helvetica, sans-serif" size="+1"><strong>Equipment Lease Financing Makes Good Business Sense</strong></font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Your bottom line will reflect your smart choice to lease: </font><ul> <font face="Arial, Helvetica, sans-serif" size="-1"> <li>You have tax benefits with lease payments - your payments may be fully deductible.</li> <li>Leasing permits 100% financing with no down payment, so you get the equipment you need without a major cash outlay.</li> <li>With leasing, you can arrange long, flexible terms with low monthly payments.</li> <li>Leasing lets you put your equipment to use immediately to generate revenues - with minimum budgetary impact.</li> <li>Leasing conserves valuable company working capital and preserves your bank credit lines.</li> <li>Lease payments are fixed, not adjustable - you don't have to worry about floating interest rates.</li> </font></ul> <font face="Arial, Helvetica, sans-serif" size="-1"> </font><p><font face="Arial, Helvetica, sans-serif" size="-1">In just three simple steps, LeaseProcess will enable you to start using the equipment you need. </font></p><p><font face="Arial, Helvetica, sans-serif" size="-1"><strong>Here's how: <ol> <li>Complete our lease application on-line, <a href="http://www.leaseprocess.com/apps/tol/documents/lease_app_tol.pdf" onClick="alert('PLEASE FAX YOUR COMPLETED APPLICATION TO 720.898.9200 ')"><strong>download and fax</strong></a>, or simply call Richard Wilmarth toll-free 1.800.942.9830, Ext. 223.</li> <li>Sign and return the paperwork to us in the prepaid overnight envelope.</li> <li>We will immediately place your order.</li> </ol></strong> </font></p><p><font face="Arial, Helvetica, sans-serif" size="-1">If you are under two years in business and you may need more than $30,000 in equipment, please just include: </font></p><ul> <font face="Arial, Helvetica, sans-serif" size="-1"> <li>First two pages of last year's personal tax return for all owners.</li> <li>Short form <a href="http://www.leaseprocess.com/documents/personal_financial_statement.pdf"><strong>personal financial statement</strong></a> for all owners.</li> </font></ul> <font face="Arial, Helvetica, sans-serif" size="-1"> </font></td> </tr> </tbody></table> <table border="1" cellpadding="4" cellspacing="0" width="635"> <tbody><tr> <td valign="top"> <table border="1" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td bgcolor="#006469"><font color="#ffffff" face="Arial, Helvetica, sans-serif" size="-1"><strong>Company Information</strong></font></td> </tr> </tbody></table> <table border="0" cellpadding="1" cellspacing="0" width="590"> <tbody><tr> <td valign="top" width="55%"> <table border="0" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td colspan="4"><font face="Arial, Helvetica, sans-serif" size="-1">Full Legal Company Name</font> <br><input name="requiredcompany_name" size="46" type="text"></td> </tr> <tr> <td colspan="4"><font face="Arial, Helvetica, sans-serif" size="-1">Address</font> <br><input name="requiredcompany_address" size="46" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">City</font> <br><input name="requiredcompany_city" size="16" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">County</font> <br><input name="company_county" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">State</font> <br><input name="requiredcompany_state" size="4" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Zip</font> <br><input name="requiredcompany_zip" size="5" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact Person</font> <br><input name="requiredcompany_contact" size="16" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Telephone</font> <br><input name="requiredcompany_phone" size="12" type="text"></td> <td colspan="2"><font face="Arial, Helvetica, sans-serif" size="-1">Fax</font> <br><input name="company_fax" size="12" type="text"></td> </tr> <tr> <td colspan="1"><font face="Arial, Helvetica, sans-serif" size="-1">Email Address</font> <br><input name="requiredemail" size="16" type="text"></td> <td colspan="3"><font face="Arial, Helvetica, sans-serif" size="-1">Nature of Business</font> <br><input name="nature_of_business" size="27" type="text"></td> </tr> <tr> <td colspan="1"><font face="Arial, Helvetica, sans-serif" size="-1">Corp/Other</font> <br><input name="corp_other" size="16" type="text"></td> <td colspan="3"><font face="Arial, Helvetica, sans-serif" size="-1">Years in Business</font> <br><input name="company_years" size="3" type="text"></td> </tr> <tr> <td colspan="4"><font face="Arial, Helvetica, sans-serif" size="-1">Location of Equipment (if different than above)</font> <br><input name="equipment_location" size="46" type="text"></td> </tr> <tr> <td colspan="1" align="center"><font face="Arial, Helvetica, sans-serif" size="-1">Years at this Location</font> <br><input name="equipment_yrs_location" size="3" type="text"></td> <td colspan="3" align="center"><font face="Arial, Helvetica, sans-serif" size="-1">Est. Equipment Delivery Date</font> <br><input name="estimated_delivery_date" size="8" type="text"></td> </tr> </tbody></table></td> <td align="center" valign="top" width="45%"> <br> <table border="1" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td colspan="3" align="center"><font face="Arial, Helvetica, sans-serif" size="-1"><strong>Equipment Quote</strong></font></td> </tr> <tr> <td align="center"><font face="Arial, Helvetica, sans-serif" size="-1">Amount</font> <br><input name="equipment_amount" size="6" type="text"></td> <td align="center"><font face="Arial, Helvetica, sans-serif" size="-1">Term</font> <br><select name="quote_term"> <option value="">---</option> <option value="24">24</option> <option value="36">36</option> <option value="48">48</option> <option value="60">60</option></select></td> <td align="center"><font face="Arial, Helvetica, sans-serif" size="-1">Payment</font> <br><input name="equipment_payment" size="6" type="text"></td> </tr> <tr> <td align="center" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1">Adv Pmts</font> <br><select name="advance_payments"> <option value="">---</option> <option value="0">0</option> <option value="1">1</option> <option value="2">2</option></select></td> <td align="center" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1">Buy-Out</font> <br><select name="buy_out"> <option value="">---</option> <option value="$1.00">$1.00</option> <option value="10%">10%</option> <option value="FMV">FMV</option></select></td> <td align="center" valign="top"><font face="Arial, Helvetica, sans-serif" size="-1">New/Used</font> <br><select name="new_used"> <option value="">---</option> <option value="New">New</option> <option value="Used">Used</option></select></td> </tr> <tr> <td colspan="3" align="center"><font face="Arial, Helvetica, sans-serif" size="-1"></font><center><font face="Arial, Helvetica, sans-serif" size="-1"><strong>Equipment Description</strong></font></center> <p><textarea name="equipment_description" rows="6" cols="20"></textarea><br><br></p></td> </tr> </tbody></table> </td> </tr> </tbody></table> <table border="1" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td bgcolor="#006469"><font color="#ffffff" face="Arial, Helvetica, sans-serif" size="-1"><strong>Personal Information for all Owners, Officers and Guarantors</strong></font></td> </tr> </tbody></table> <table border="0" cellpadding="2" cellspacing="0" width="590"> <tbody><tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Name</font> <br><input name="personal_name" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Title</font> <br><input name="personal_title" size="16" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">SSN</font> <br><input name="personal_ssn" size="11" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">%Ownership</font> <br><input name="personal_ownership" size="16" type="text"></td> </tr> <tr> <td colspan="3"><font face="Arial, Helvetica, sans-serif" size="-1">Home Address / City / State / Zip</font> <br><input name="personal_address" size="53" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Home Phone Number</font> <br><input name="personal_phone" size="16" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Name</font> <br><input name="personal_name_2" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Title</font> <br><input name="personal_title_2" size="16" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">SSN</font> <br><input name="personal_ssn_2" size="11" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">%Ownership</font> <br><input name="personal_ownership_2" size="16" type="text"></td> </tr> <tr> <td colspan="3"><font face="Arial, Helvetica, sans-serif" size="-1">Home Address / City / State / Zip</font> <br><input name="personal_address_2" size="53" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Home Phone Number</font> <br><input name="personal_phone_2" size="16" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Name Other Owners</font> <br><input name="personal_name_3" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Title</font> <br><input name="personal_title_3" size="16" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">SSN</font> <br><input name="personal_ssn_3" size="11" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">%Ownership</font> <br><input name="personal_ownership_3" size="16" type="text"></td> </tr> </tbody></table> <table border="1" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td bgcolor="#006469"><font color="#ffffff" face="Arial, Helvetica, sans-serif" size="-1"><strong>Bank References</strong></font></td> </tr> </tbody></table> <table border="0" cellpadding="2" cellspacing="0" width="590"> <tbody><tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Name of Bank</font> <br><input name="requiredbank_name" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">No. of Yrs</font> <br><input name="bank_years" size="3" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Bus. Acct. Number(s)</font> <br><input name="bank_acct_number" size="14" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone</font> <br><input name="requiredbank_phone" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact</font> <br><input name="bank_contact" size="10" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Previous Bank</font> <br><input name="previous_bank" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">No. of Yrs</font> <br><input name="previous_bank_years" size="3" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Bus. Acct. Number(s)</font> <br><input name="previous_bank_acct_number" size="14" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone</font> <br><input name="previous_bank_phone" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact</font> <br><input name="previous_bank_contact" size="10" type="text"></td> </tr> </tbody></table> <table border="1" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td bgcolor="#006469"><font color="#ffffff" face="Arial, Helvetica, sans-serif" size="-1"><strong>Trade References</strong></font></td> </tr> </tbody></table> <table border="0" cellpadding="2" cellspacing="0" width="590"> <tbody><tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Main Supplier</font> <br><input name="trade_main_supplier" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Products</font> <br><input name="trade_main_products" size="5" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Account Number</font> <br><input name="trade_main_acct_number" size="14" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone</font> <br><input name="trade_main_phone" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact</font> <br><input name="trade_main_contact" size="10" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Other Supplier</font> <br><input name="trade_other_supplier" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Products</font> <br><input name="trade_other_products" size="5" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Account Number</font> <br><input name="trade_other_acct_number" size="14" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone</font> <br><input name="trade_other_phone" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact</font> <br><input name="trade_other_contact" size="10" type="text"></td> </tr> </tbody></table> <table border="1" cellpadding="2" cellspacing="0" width="100%"> <tbody><tr> <td bgcolor="#006469"><font color="#ffffff" face="Arial, Helvetica, sans-serif" size="-1"><strong>Landlord and Insurance Information</strong></font></td> </tr> </tbody></table> <table border="0" cellpadding="2" cellspacing="0" width="590"> <tbody><tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Landlord for Equip. Location</font> <br><input name="landlord_equip_location" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">No. of Yrs</font> <br><input name="landlord_years" size="3" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">City/State</font> <br><input name="landlord_city_state" size="14" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone</font> <br><input name="landlord_phone" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact</font> <br><input name="landlord_contact" size="10" type="text"></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Business Insurance Co.</font> <br><input name="business_insurance_co" size="20" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">No. of Yrs</font> <br><input name="business_insurance_years" size="3" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Prop Damage & Liab?</font> <br><select><option value="">---</option><option value="damage_liability_yes">Yes</option><option value="damage_liability_no">No</option></select></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone</font> <br><input name="business_insurance_phone" size="12" type="text"></td> <td><font face="Arial, Helvetica, sans-serif" size="-1">Contact</font> <br><input name="business_insurance_contact" size="10" type="text"></td> </tr> </tbody></table> <p><font face="Arial, Helvetica, sans-serif" size="-2"><strong>Credit Authorization:</strong> <br>I/We hereby authorize LeaseProcess, 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 updating, renewing, extending additional credit or the collection of any late account. I/We hereby authorize our references to release all credit information and I/We represent and warrant that the information submitted herein is true, complete and accurate. A facsimile, electronic or other copy of this authorization shall be as valid as the original.</font></p> <br><center><input value="Submit Application" name="Action" type="submit"></center> <br><center><font face="Arial, Helvetica, sans-serif" size="-1">To download a working copy of this lease application - <a href="http://www.leaseprocess.com/apps/tol/documents/lease_app_tol.pdf" onClick="alert('PLEASE FAX YOUR COMPLETED APPLICATION TO 720.898.9200 ')"><strong>Click Here</strong></a></font></center> <br> <br> </td> </tr> </tbody></table> </center> </form> <script type="text/javascript"> /* <![CDATA[ */ var google_conversion_id = 1065440444; var google_custom_params = window.google_tag_params; var google_remarketing_only = true; /* ]]> */ </script> <script type="text/javascript" src="//www.googleadservices.com/pagead/conversion.js"> </script> <noscript> <div style="display:inline;"> <img height="1" width="1" style="border-style:none;" alt="" src="//googleads.g.doubleclick.net/pagead/viewthroughconversion/1065440444/?guid=ON&script=0"/> </div> </noscript> <script type="text/javascript"> var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); </script> <script type="text/javascript"> try { var pageTracker = _gat._getTracker("UA-10204349-1"); pageTracker._trackPageview(); } catch(err) {} </script> </body></html>