WEST END SERVICE, INC. - CREDIT APPLICATION
PRINT,
COMPLETE and FAX to 410-465-5456
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INSTALLMENT DEBT REFERENCE (Finance, Leasing, Bank) |
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Bank |
Phone |
Acct # |
Contact |
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Bank |
Phone |
Acct # |
Contact |
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Full Legal Business Name |
Federal Tax ID |
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Address |
City |
County |
State |
Zip |
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Business Telephone Number |
Fax Number |
Contact |
Title |
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Type of Business (Circle) Corporation Partnership Sales |
Time in Business Under Current Ownership |
Fleet Size |
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PERSONAL
INFORMATION |
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Principal/Guarantor |
Title |
Principal/Guarantor |
Title |
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Street Address |
% Owned |
Street Address |
% Owned |
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City, State, Zip |
County |
City, State, Zip |
County |
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Home Telephone Number |
Social Security # |
Home Telephone Number |
Social Security # |
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BANKING REFERENCES (Minimum 2 Year History Required) |
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Bank |
Phone |
Acct # |
Contact |
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Bank |
Phone |
Acct # |
Contact |
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THREE TRADE REFERENCES |
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Company Name |
Phone |
Acct # |
Contact |
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Company Name |
Phone |
Acct # |
Contact |
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Company Name |
Phone |
Acct # |
Contact |
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VENDOR INFORMATION |
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Full Legal Business Name |
Address |
City, State, Zip |
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Phone Number |
Fax Number |
Sales Person |
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TERM: |
# of ADVANCE PAYMENTS: |
PURCHASE |
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DESCRIPTION OF COLLATERAL TO BE LEASED |
EQUIPMENT: New Used |
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Description |
Sales Tax Rate |
Total Estimated Cost |
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The undersigned (Applicant) hereby agrees that lessor and/or lender may make credit inquiries to verify any information given to lessor in connection with applicants application for credit under the lease, and that lessor may exchange credit information with others. As part of the investigation process, lessor and/or lender also may request a consumer credit report or commercial credit report about applicant in connection therewith. Upon applicant's request, lessor and/or lender will tell applicant whether or not a consumer credit report or commercial credit report was obtained and, if such report was obtained, lessor and/or lender will furnish applicant with the name and address of the consumer credit reporting agency or commercial credit reporting agency that furnished the report. Lessor and/or lender may request a new consumer report or commercial credit report without telling applicant in connection with any update, renewal or extension at the maturity of any credit to applicant.
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X |
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X |
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Applicant's Signature |
Co-Applicant's Signature |
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