Credit Application

By: Audio General  06-Dec-2011
Keywords: Home Phone, Equipment Leasing, Personal Credit History

MONTGOMERY EQUIPMENT LEASING COMPANY

P.O. Box 97, Cheltenham, PA 19012

Telephone:  215-663-2350    Fax: 215-663-2352

CONFIDENTIAL CREDIT APPLICATION

Supplier: Audio General Incorporated

 

Cost:                                                         

Tel: 267-288-0300

 

Equipment:                                              

Fax: 267-288-0301

 

New______       Used________

Contact: David                                              

 

Expected date of delivery? ________

FULL LEGAL NAME:                                                                                                                                                                        

ADDRESS:                                                                    CITY:                                        STATE:            ZIP: ______________

TELEPHONE:                                                                FAX:                                                                          

NATURE OF BUSINESS:                                                          Length of time in business :                                                      

TYPE OF BUSINESS: Corporation / Partnership / Proprietorship (Circle one)

FED. ID #_______________________________________________________________________

NAME OF PRESENT BANK:                                                                                                                                     

Telephone: ____________________________________ Bank officer: _________________________________

Account Number:                                              Length of time at bank:                                     

NAME OF PREVIOUS BANK: _____________________________________________________

Telephone: ________________________Account Number:________________________________

THREE TRADE REFERENCES:

NAME:                                                             Contact:_________________________________

Address: _________________________________ Telephone:                                                                                

NAME:                                                             Contact: ________________________________________________

Address: _________________________________ Telephone:                                                                                  

NAME:                                                              Contact: ________________________________________________

Address: ___________________________________Telephone:                                                        

OWNERSHIP INFORMATION : Please list the full legal names of the owners of the business.  If a publicly traded firm, list officer who will be responsible for signing the lease.

NAME:                                                  Title:                     % Ownership:                            

SS#:                                                           

Home Address:                                                             City:                              State:           Zip:                 

Date of Birth:                       

Home Phone #:                                            Spouse's Name:                                               

SS#:                                              

NAME:                                     Title:                       % Ownership:                          

SS#:                                              

Home Address:                                                             City:                              State:           Zip:                 

Date of Birth:                       

Home Phone #:                                                 Spouse's Name:                                                            

SS#:                                              

I/We, either a principal of the credit applicant listed above or a personal guarantor of its obligations, provide written authorization to Montgomery Equipment Leasing Co. or its assigns to investigate my/our personal credit history from a national credit bureau, which shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update renewal or extension and for reviewing or collecting the resulting account.  A photocopy or facsimile copy of this shall be as valid as the original.  I/We also authorize My/Our financial institutions and creditors to release information required.

AUTHORIZED SIGNATURE: X                                                          DATE:                                                            

AUTHORIZED SIGNATURE: X                                                          DATE:                                                           Please FAX completed form to 215-663-2352

Keywords: Equipment Leasing, Home Phone, Personal Credit History

Other products and services from Audio General

06-Dec-2011

Policies

Hassle-Free Return Policy:If you are dissatisfied with your purchase, return the merchandise within 5 business days of receipt, with all of the accessories and packing material, prepaid and insured. We accept Visa, MasterCard, Discover, American Express, checks, wire transfers, money orders, and approved purchase orders. Custom made, non-standard items are not returnable but, if defective, will be exchanged.