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Art and Logic - Software Lease Application

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Art and Logic - Software Lease Application
BAYCAP, LLC.
423 S. Pacific Coast Hwy. Suite 202
Redondo Beach, CA, 90277
Direct (310) 944-9912
Fax (310)944-9947
tj
Customer Information (Legal name of Company)
Company Name _________________________________________________________
Billing Address__________________________________________________________
City__________________________ State____ Zip Code ________# of Employees ___
Equipment Location (if different)____________________________________________
Telephone (___)____-_______ Fax (___)____-________Fed Tax I.D.______________
Time In Bus. _____ Years Term
24 36 48 60
$ _______________________________
(Circle One) (Anticipated Project Cost)
Co
mpany Profile: ___ Non-profit ___ Proprietorship ___ Partnership ___ Corporation ____ Other
(Check One)
Company Bank
Name of bank/branch___________________________________ How long_______yrs.
Checking Account No__________________ Savings Account No__________________
Phone Number (___)____-_________ Other Accounts___________________________
Personal Information (Required On officers, partners, or guarantors)
Leave this Section Blank for "Corp Only"
Name______________________ %Owned_____ Social Security # ____-_____-______
Home Address___________________________________________________________
City____________________________ State____ Zip Code __________Title _______
Name______________________ %Owned_____ Social Security # ____-_____-______
Home Address___________________________________________________________
City____________________________ State____ Zip Code __________Title________
Trade References
Trade Name____________________________Acct# Phone( ) _________
Trade Name____________________________Acct# Phone( )__________
Trade Name____________________________Acct# Phone( )__________
Declaration
Applicant warrants that all credit and financial information submitted to Lessor herewith or at any other time is true and correct, and authorizes
BayCap, LLC to investigate applicants credit worthiness as may be needed. The undersigned authorizes all banking institutions, credit reporting
agencies and its agents to release all necessary information via telephone, mail or facsimile as requested, for the purpose of securing a lease.
Customer Name__________________________________________ Title ______________________
Customer Signature_______________________________________ Date ______/____/___________





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