Business
Business Name
Phone		Fax:
Email		Website:
Address	(Street)
City		State      Zip
Business Type		Number of Employees
Est. Annual Sales		Net Worth
Years In Business
Ownership
Business Structure	Proprietorship    Partnership    Corporation
Fed. Tax No.
First Principal
Name		Title
Soc. Sec. No.		% Owner
Home Phone#
Home Address	(Street)
City		State      Zip
Second Principal
Name		Title
Soc. Sec. No.		% Owner
Home Phone#
Home Address	(Street)
City		State      Zip
Equipment
Vendor		Phone
Contact
Equipment	New Used Reconditioned
	Manufacturer and Model
Sale Price
Down Payment Amount Available
Remaining Amount To Be Financed
Lease Term    12    24    36    48    60    Other /No. of Months:
Preferred Buyout   $1.00    10%
By placing your initials in this box    and submitting this form you agree to the following terms: "I hereby authorize Southern Yankee Bar-B-Q or any credit bureau or other investigative agency employed by Southern Yankee Bar-B-Q to investigate the references herein listed or statements or other data obtained from me or from any other person pertaining to my credit and financial responsibility."
Applicant-Lessee authorizes lessor to obtain such information as may be required concerning the above statements within the framework of the Fair Credit Reporting Act & warrants that the credit information and all financial statements submitted by the applicant to Lessor are true, correct, & complete. Applicant understands the Lessor is relying on this Lease Application and financial statements submitted by the Applicant in making its decision whether to enter into a Lease Agreement. Applicant agrees to inform the Lessor immediately of any matter that will cause a significant change in the Applicant's financial condition. Applicant agrees that the applicant and any other information submitted remain the property of the Lessor whether or not the Lease is granted. By signing above, the undersigned individual, who is either a principal of the credit applicant or a guarantor of its obligations, provides this written instruction to the above referenced Lessor/Secured Party, its nominees or assigns, authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in consideration of the application and subsequently for the purpose of update, renewal, or extension of such credit or additional credit and for reviewing and collecting the resulting account. A electronic, photo static, or facsimile copy of this Authorization shall be as valid as the original. By signing below, I/we affirm our identity as the respective individuals identified in the related application. The authority applies to any designee or assigns. THIS APPLICATIONS DOES NOT OBLIGATE THE LESSOR OR THE APPLICANT TO ENTER INTO A LEASE AGREEMENT
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