KEY CREDIT APPLICATION
LESSEE CO./ DBA ________________________________________________________________________
STREET _________________________________________ PHONE_____________ FAX _______________
CITY ________________________ COUNTY________________ STATE ____________ ZIP _____________
INSTALLATION ADDRESS _________________________________________________________________
LESSEE IS: ( ) CORP.( ) PARTNERSHIP ( ) SOLE PROPRIETOR FED I.D. # ___________________
YEARS IN YEARS UNDER TYPE
BUSINESS _____ CURRENT OWNERSHIP _____ OF BUSINESS _________________________________
HAS PRINCIPAL OR COMPANY FILED BANKRUPTCY IN THE LAST 10 YEARS? ( ) YES ( ) NO
PRINCIPAL (S) OR GUARANTOR (S)
___________________________________________________________________________
(NAME) (TITLE/%OWNERSHIP) (HOME ADDRESS & PHONE) (DATE OF BIRTH) (SOCIAL SECURITY #)
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(NAME) (TITLE/%OWNERSHIP) (HOME ADDRESS & PHONE) (DATE OF BIRTH) (SOCIAL SECURITY #)
BANK REFERENCES (NEED AT LEAST 2 YEAR HISTORY, PLEASE)
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(NAME) (PHONE) (ACCOUNT NUMBER/TYPE) (DATE OPENED) (CONTACT NAME)
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(NAME) (PHONE) (ACCOUNT NUMBER/TYPE) (DATE OPENED) (CONTACT NAME)
LOAN HISTORY PAST OR PRESENT ________________________________________________________
(BANK) (PHONE) (LOAN NUMBER) (AMOUNT)
TRADE REFERENCES
_____________________________________________________________________________________
(CO. NAME) (PHONE) (CONTACT NAME) (ACCT. #)
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(CO. NAME) (PHONE) (CONTACT NAME) (ACCT. #)
_____________________________________________________________________________________
(CO. NAME) (PHONE) (CONTACT NAME) (ACCT. #)
CREDIT RELEASE:
I hereby authorize the release of all credit information to and consent to the obtaining and use of my consumer credit report by Key Credit Corp. and its assigns/potential assigns at anytime, for obtaining credit, and applicable account maintenance. I understand that this information may be transmitted via Internet and/or fax machine. I consent to the photocopying of my drivers license for verification purposes in connection with a commercial lease transaction. I also consent to receiving unsolicited faxes and emails wherein Key Credit Corp. will advertise its services. The Patriot Act now requires Date of Birth.
X __________________ X ____________________
APPLICANTS SIGNATURE APPLICANTS SIGNATURE
DESCRIPTION OF EQUIPMENT
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EQUIPMENT COST ___________________ TERM _______ MONTHS PURCHASE OPTION ___________
VENDOR ____________________________________ PHONE _______________ FAX ________________
ADDRESS _____________________________________________ CONTACT _______________________
Key Credit Corp. Fax: 800-261-7826, Voice 800-344-9922
Please FAX Completed Application to: 813-982-8283