McMahan Business Interiors | Lease Application

Online Lease Application
LESSEE BUSINESS/OWNERSHIP INFORMATION
Company Name			Type of Business
No. of Years in Business			Company Address
Nature of Business			City
County			State
Zip Code			Contact Person
Contact Title			Phone Number
Email Address			Fax Number
Signer Name			Signer Title

SUPPLIER/EQUIPMENT INFORMATION
Suppler Name			Contact Person
Supplier Address			Supplier Phone Number
Supplier Email			Supplier Fax Number
Cost of Equipment			Sales Tax
Total Cost			Term
Type of Lease			Advances
Equipment Description			Equipment Location
Delivery Date/Want Date

COMPANY BANK REFERENCES
Name of Bank/Branch			Name of Bank/Branch
How Long?			How Long?
Contact Person			Contact Person
Phone Number			Phone Number
Checking Account Number			Checking Account Number
Loan Account Number			Loan Account Number

TRADE REFERENCES AND OTHER LEASES
Name of Supplier			Name of Supplier
Contact Person			Contact Person
Phone Number			Phone Number

Name of Supplier
Contact Person
Phone Number

By submitting this on-line application, you certify that all the information you have given or will give with this application is true and complete. You authorize McMahan Business Interiors, its assigns, affiliates and/or parents to make a complete credit check on the company and principals of the same as individuals and to relate this information to others as necessary to secure a credit decision. Your submission also authorizes any information that may be requested by McMahan Business Interiors, its assigns, affiliates and/or parents including but not limited to bank, trade references, and/or financial statements, tax returns.