Blue Water Leasing

Blue Water Leasing

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IF YOU NEED ASSISTANCE CALL 1.888.480.8532 TOLL FREE, NO FEE FOR APPLICATION REVIEW, WE WILL CONTACT YOU AFTER REVIEWING YOUR INFORMATION.

We have access to over 200 commercial and private equity lenders.

LEASE APPLICANT BUSINESS INFORMATION You may wish to print this form and fax it to 1.703.584.7106 If you need assistance completing this form call toll free 1.888.480.8532

Company Legal Name:
DBA (If applicable)
Company Address:
Phone Number:	Fax Number:
Email Address:	Web:
City, State, Zip:	,
Date of Incorporation:	Credit: Exc, Good, Fair, Poor
Business Type:	Sole Owner Partnership Corporation Other

PERSONAL INFORMATION ON OFFICERS, PARTNERS OR GUARANTORS

Owner 1 Name:	Title:

Owner 2 Name:

Title:

VENDOR & EQUIPMENT INFORMATION

Vendor Name:
Contact:	Phone:
Equipment Description:
Is the Equipment New or Used?	Cost (without Tax):
Terms Requested:	2 Years 3 Years 4 Years 5 Years Special
Location of Equipment:
By submitting this application, I, authorize Blue Water Leasing, Inc. and it's agents or assigns to investigate my/our credit worthiness, as you deem necessary. I/We hereby authorize my/our references and/or any Credit Bureaus to release my/our information. I/We warrant that the information submitted herein is true and correct.
Name:

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