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Home
Company
Why JB&B Capital?
Services
Equipment for Sale
Application
Contact
Online Application
Fill out and send today.
BUSINESS
BUSINESS NAME/LESSEE
*
STREET ADDRESS
*
TELEPHONE
*
FAX
CITY/STATE/ZIP
*
COUNTY
*
MOBILE
*
TYPE OF BUSINESS
*
BUSINESS START DATE
*
YRS CURRENT OWNERSHIP
*
FED. TAX I.D.
*
LOCATION OF EQUIPMENT (STREET/CITY/STATE/ZIP/COUNTY)
*
EMAIL ADDRESS
*
CONTACT NAME
ANNUAL SALES
EXEMPT FROM STATE SALES/USE TAX?
HAS COMPANY/OWNER(S) EVER DECLARED BANKRUPTCY?
OWNERSHIP
By signing below, the undersigned individual, who is either a principal of the credit applicant or a personal guarantor of its obligations, authorizes lessor and/or debtor and their affiliates, successors or its designee (and any assignee or potential assignee thereof) to obtain consumer credit reports relating to his/her individual credit history and/or creditworthiness. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A photostat or facsimile copy of this authorization shall be valid as the original. By signature below, I/we affirm my/our identity as the respective individual(s) identified in this application.
TYPE OF BUSINESS
*
PROPRIETORSHIP
PARTNERSHIP
C-CORP
S-CORP
NON-PROFIT
LLC
STATE OF INCORPORATION
*
GUARANTOR’S NAME
*
TITLE
*
SSN
*
SIGNATURE
*
HOME ADDRESS (STREET) CITY STATE ZIP
*
RENT/OWN?
*
RENT
OWN
HOW LONG?
*
HOME PHONE:
*
EMAIL
*
% OF OWNERSHIP
*
MOBILE
*
GUARANTOR’S NAME
TITLE
SSN
SIGNATURE
HOME ADDRESS (STREET) CITY STATE ZIP
RENT/OWN?
RENT
OWN
How Long?
HOME PHONE:
EMAIL
% OF OWNERSHIP
MOBILE
BANK REFERENCE
BANK
BRANCH/CITY
CONTACT
TELEPHONE
ACCOUNT UNDER THE NAME OF
ACCOUNT NUMBER
ACCOUNT TYPE
CHECKING
SAVINGS
I hereby certify that the information contained in this lease application is true and accurate and I hereby authorize our banks, trade references, and financial institutions the right to release credit information, In states where permissible. I hereby authorize the filling and recording of LICC financing Statements showing the Secured Party's interest in the equipment and grant the Secred Party the right to execute Leasee's/debtors name thereto, A photostat copy of this authorization shall be as valid as the original.
AGREE
DISAGREE
SEND APPLICATION
This field should be left blank
BUSINESS
BUSINESS NAME/LESSEE
*
STREET ADDRESS
*
TELEPHONE
*
FAX
CITY/STATE/ZIP
*
COUNTY
*
MOBILE
*
TYPE OF BUSINESS
*
BUSINESS START DATE
*
YRS CURRENT OWNERSHIP
*
FED. TAX I.D.
*
LOCATION OF EQUIPMENT (STREET/CITY/STATE/ZIP/COUNTY)
*
EMAIL ADDRESS
*
CONTACT NAME
ANNUAL SALES
EXEMPT FROM STATE SALES/USE TAX?
HAS COMPANY/OWNER(S) EVER DECLARED BANKRUPTCY?
OWNERSHIP
By signing below, the undersigned individual, who is either a principal of the credit applicant or a personal guarantor of its obligations, authorizes lessor and/or debtor and their affiliates, successors or its designee (and any assignee or potential assignee thereof) to obtain consumer credit reports relating to his/her individual credit history and/or creditworthiness. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A photostat or facsimile copy of this authorization shall be valid as the original. By signature below, I/we affirm my/our identity as the respective individual(s) identified in this application.
TYPE OF BUSINESS
*
PROPRIETORSHIP
PARTNERSHIP
C-CORP
S-CORP
NON-PROFIT
LLC
STATE OF INCORPORATION
*
GUARANTOR’S NAME
*
TITLE
*
SSN
*
SIGNATURE
*
HOME ADDRESS (STREET) CITY STATE ZIP
*
RENT/OWN?
*
RENT
OWN
HOW LONG?
*
HOME PHONE:
*
EMAIL
*
% OF OWNERSHIP
*
MOBILE
*
GUARANTOR’S NAME
TITLE
SSN
SIGNATURE
HOME ADDRESS (STREET) CITY STATE ZIP
RENT/OWN?
RENT
OWN
How Long?
HOME PHONE:
EMAIL
% OF OWNERSHIP
MOBILE
BANK REFERENCE
BANK
BRANCH/CITY
CONTACT
TELEPHONE
ACCOUNT UNDER THE NAME OF
ACCOUNT NUMBER
ACCOUNT TYPE
CHECKING
SAVINGS
I hereby certify that the information contained in this lease application is true and accurate and I hereby authorize our banks, trade references, and financial institutions the right to release credit information, In states where permissible. I hereby authorize the filling and recording of LICC financing Statements showing the Secured Party's interest in the equipment and grant the Secred Party the right to execute Leasee's/debtors name thereto, A photostat copy of this authorization shall be as valid as the original.
AGREE
DISAGREE
SEND APPLICATION
This field should be left blank
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