PERSONAL INFORMATION ON OFFICERS, PARTNERS OR
GUARANTORS
Owner 1 Name:
Title:
SSN:
Phone:
Home Address:
City, State, Zip:
,
Owner 2 Name:
Title:
SSN:
Phone:
Home Address:
City, State, Zip:
,
VENDOR & EQUIPMENT INFORMATION
Vendor Name:
Contact:
Phone:
Fax:
Address:
City, State, Zip
,
Equipment
Description:
Is the Equipment
New or Used?
Cost (without Tax):
Terms Requested:
2
Years
3 Years
4 Years
5 Years
Special
Location of
Equipment:
By submitting this application, I, authorize Blue
Water Leasing, Inc. and it's agents or assigns to
investigate my/our credit worthiness, as you deem
necessary. I/We hereby authorize my/our references
and/or any Credit Bureaus to release my/our
information. I/We warrant that the information
submitted herein is true and correct.