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LEASE APPLICATION
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Please Fax to (815) 943.7942
Attention: John Stricker
Financial Center
(949) 943-8730 - direct line
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Legal name of company
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Company name listed on
business checks
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Sole proprietorship
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Partnership
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Corporation
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LLC
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Business address
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City
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State
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Zip
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Telephone
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Fax number
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Date business started
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Federal tax ID number
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Principal/Officer/Partner
#1
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Title
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Social security number
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Equity/ownership %
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%
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Home address
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City
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State
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Zip
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Principal/Officer/Partner
#2
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Title
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Social security number
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Equity/ownership %
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%
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Home address
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City
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State
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Zip
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Principal/Officer/Partner
#3
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Title
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Social security number
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Equity/ownership %
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%
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Home address
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City
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State
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Zip
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Bank Institution #1
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Account number
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Business or personal
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Telephone number
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Bank contact person
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Approx. average balance
last 6 months
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$
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Bank Institution #2
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Account number
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Business or personal
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Telephone number
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Bank contact person
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Approx. average balance
last 6 months
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$
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Trade reference #1
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Telephone
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Contact person
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Account number
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Trade reference #2
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Telephone
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Contact person
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Account number
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Trade reference #3
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Telephone
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Contact person
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Account number
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For
Questions Please Contact: John
Stricker (815) 943-8730
e-mail: financecenter@bakery.com
The undersigned hereby
authorizes all financial institutions, trade references, and credit bureaus
(personal and business) to release credit information to North American
Capital, its subsidiaries, partners, legal representatives, and/or its
assignees for consideration of requested lease application above.
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