Equipment Finance & Lease

(1)

The founders of ACG Equipment Finance have been

providing financing and leasing since 1992. Since our

initial beginnings we have funded over $500,000,000

of commercial equipment and have taken a leadership

position in the industry by providing exceptional

serv-ice with a firm commitment to our customer base.

ACG Equipment Finance LLC

9436 Hamilton Dr.

Mentor, OH 44060

Phone:

800-830-0084

440-579-0400

Fax:

800-830-9855

440-579-0447

Email:

info@1acg.com

How to get Started

Arranging an equipment lease for your business is

fast and easy through ACG Equipment Finance.

• Select the equipment you want from your

equipment supplier.

• Complete the simple, one page credit

application, then fax it to us:

800-830-9855

.

• When the application is approved ~ usually

within 24 working hours of our receiving the

necessary information ~ we will send you our

one page contract for your signature. We will

even contact your equipment supplier to arrange

for payment and delivery of your selected

equipment.

Benefits of using ACG Equipment Finance

Conserve Working Capital:

Cash isn't tied up in

overhead, its free for income producing investments.

Or, your cash savings may be reinvested in your

busi-ness to create earnings which may reduce the net

cash cost of leasing.

Flexibility:

A typical contract involves payments of 24

-60 months. But, a unique plan may be better for you.

We can customize a lease to fit your particular

situa-tion. If you choose to upgrade or replace the

equip-ment during the lease term, we'll help.

Low Initial Investment:

Financing and leasing with

ACG Equipment Finance is easy and covers 100% of

the equipment cost. A large down payment isn't

nec-essary. Typically, the first & last payment is all that is

required.

Preserve bank credit lines:

Your loan doesn't affect

your existing borrowing limits with your bank. You still

have 100% of your credit available for other needs.

Rapid turnaround:

Our same day approvals and

fundings allow you to take advantage of opportunities

as they present themselves.

w w w . 1 a c g . c o m

Equipment Finance

& Lease

Equipment Finance

& Lease

(2)

offers leasing and financing of

cap-ital equipment to companies ranging from the Fortune

500 to the family store. Virtually any equipment you

are considering to acquire can be leased or financed

through ACG Equipment Finance.

For companies seeking to acquire equipment, the

de-cision presents both an opportunity and a challenge in

today's constantly changing economic environment.

The opportunity is the possibility to increase

produc-tivity and profits through the use of new or updated

equipment. The challenge is to choose the best

method of paying for the equipment. Because the

ac-quisition involves a large capital commitment, many

businesses are choosing to work with ACG Equipment

Finance as the prudent alternative.

ACG Equipment Finance provides leasing for

equip-ment, costing as little as $3,000 all the way up to

$500,000. ACG Equipment Finance generally requires

no more than a simple one page application on

trans-actions under $150,000. We look forward to working

with you and are always available to discuss any

op-portunities.

Product Features

Along with the standard lease and finance terms we

offer many types of flexible payment schedules.

Contract terms Include:

• 12-72 month terms

• Equipment Finance Agreements,

$1.00 Purchase Option Leases,

10% -20% Purchase Option Leases.

• 30 day to 120 day deferred payment plans.

• Seasonal payment schedules designed to

meet the CUSTOMER'S cash flow patterns.

• Step Up or Step Down payment plans

designed to meet the cash flows generated

by the equipment over the life of the term.

Phone 800-830-0084

Fax 800-830-9855

COMPANY PROFILE:

Legal Name: _______________________________________________________________________

Address:___________________________________________________________________________

City: ___________________________________ State: _ Zip: ________

Phone: ________ Fax: Years in Business

PRINCIPALS:

Officers, Owners, Partners (please list ownership percentage)

Full Legal Name & Title

Home Address

Social Security #

__________________________________________________________________________________

BANK INFORMATION:

Business checking information

Bank: __ Phone:

Account# _ Contact: _

DESCRIPTION OF EQUIPMENT:

__________________________________________________________________________________

Amount: _Term Requested (months): Purchase Option: _

I authorize ACG Equipment Finance LLC to perform a standard credit investigation as it applies to this

credit application.

Customer Signature: _______________________Date: _

ACG Equipment Finance

9436 Hamilton Dr.

Mentor, OH 44060

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Credit Application

Fax application to 800-830-9855

Scott Hirz

440-360-7275 Ph

800-830-9855 Fax

scotthirz@1acg.com

9436 Hamilton Drive

Mentor, OH 44060

BUSINESS INFORMATION

Please fill out application completely

Company Name:

Physical Address: City: State: Zip Code:

Company Web Site Address:

Type of Business (Check One):

Corporation

Partnership

Proprietorship

LLC

Business Phone:

Fax Number: County:

Contact

Name:

Federal Tax ID#

Years of Ownership:

Annual Sales:

Number of Employees:

OWNERSHIP INFORMATION

Include all owners to account for 100% of company ownership

1. Owner

Title:

Ownership %

SSN:

Home Address:

City: State:

Zip Code:

Home Phone:

Cell Phone:

Email Address:

2. Owner

Title:

Ownership %

SSN:

Home Address: City: State: Zip Code:

Home Phone:

Cell Phone:

Email Address:

EQUIPMENT INFORMATION

Please include Yr., Make, & Model #.

Please attach the equipment quote and/or picture if available

YEAR MAKE MODEL

Qty: Price: Description:

1

2 DEALER/ SUPPLIER:

Contact Person:

Telephone Number:

Fax Number:

*What additional equipment or vehicle purchases are you considering in the

next 3-6 months? _______________________________________________________

Each undersigned individual does hereby authorize the release of any and all credit information pertaining to the above credit application to ACG Equipment Finance LLC and/or its assignees. Such authorization shall extend to obtaining credit information including personal credit bureau’s as well as bank and trade references. A fax copy of this form shall be valid as an original.

Signature______________ Title _ Date___

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Legal Business Name: dba:

By signing below, the undersigned individual who is either a principal of the credit applicant or a guarantor of its obligations, provides this true and correct written instruction to Allstate Capital, LLC, its nominees or assigns, authorizing review of his/her personal credit profile from a national credit bureau and any bank and trade references as required. Such authorization shall extend to obtaining a credit profile in consideration of the application and subsequently for the purpose of update, renewal or the extension of such credit or additional credit and/or for reviewing and collecting the resulting account. I/we agree that the security deposit is not refundable if information is found to be incorrect. Security deposit will be refunded if application is rejected by lessor. A Photostat or facsimile copy of this authorization shall be as valid as the original. By signature below, I/we affirm our identity as the respective individuals identified in the related application. All terms, conditions, rates, and programs are subject to credit approval.

X

_____________________________________________

X

_____________________________________________

Signature Signature

Credit Application

Contact: Eric King

Allstate Capital, LLC

3665 Park Central Blvd North

Pompano Beach, FL 33064

800-949-0018 ext. 421

E-mail: EricK@allstatecapital.com

Fax back to: 954-934-0469

LESSEE COMPANY INFORMATION

Contact: Contact: Telephone No.: Telephone No.: Chkg Acct #: Loan Acct #: Chkg Acct #: Loan Acct #: How Long? How Long? Name of Bank/Branch Name of Bank/Branch

COMPANY BANK REFERENCES -- TWO YEAR HISTORY

Are you a U.S. Citizen? Yes No

Home Phone No.: % Bus. Owner:

Social Security Number: Title:

Name:

PERSONAL INFORMATION ON OFFICERS, PARTNERS, OR GUARANTORS

No. Years in Business: Type of Business: Non-Profit Proprietorship Partnership Corporation LLC

Signer Name (please print): Title:

Business Address (No PO Boxes): City: County: State: Zip:

Nature of Business:

Rent/Own Home:

Vendor Name:

Equipment Description: Equipment Cost: Contact:

Vendor Address: City: State: Zip:

Fax: Telephone:

VENDOR & EQUIPMENT INFORMATION

Term:

Best Contact # (cell): Business Telephone: Business Fax:

Contact Email: Federal Tax ID #:

Equipment Location: Current Location New Additional Location Move of Current Location to a New Location

No. Years in Business Under Current Ownership: Equipment Address (if different from above): City: County: State: Zip:

Please include the last 3 months business bank statements, first page only

TRADE REFERENCES -- TWO YEAR HISTORY

Contact: Contact: Telephone No.: Telephone No.: City/State: City/State: Name of Supplier: Name of Supplier:

Home Address : City: State: Zip:

Name:

Are you a U.S. Citizen? Yes No

Home Phone No.: % Bus. Owner:

Social Security Number: Title:

Rent/Own Home:

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Your 1

st

Call for Equipment Financing/Leasing

In the Drilling and Septic Industries

WE OFFER YOU



Prompt, Personal Service

Drilling and Boring



Fast, efficient approvals and fundings

Trenchless



Aggressive rate structures

Pipe Bursting



25 years serving vendors and customers

Trucks/Trailers



One page credit application – easy!

Specialty Vehicles



A wide range of credit quality accepted

Rental Equipment



Startup Business Programs

Inspection Equipment



Municipal/Government Programs

Construction



New and Used Equipment

Hydro-Excavation



24 to 72 month terms

Waste



100% Financing

....and Much More

Let us help you

acquire the equipment you need!

Joe Fiore

973-582-3400

Fax 973-577-6909

(6)

(7)

The solution for your unique equipment financing needs.

3020 Saturn Street, Suite 203, Brea, CA 92821

(800) 341-1288 | www.providencecapitalfunding.com

Apply via Fax! (714) 986-1225

Apply Online! www.providencecapitalfunding.com

Our simple

one-page application

can provide you up to

$150,000 in just hours

!

With lease

rates as low as 3.99%

, we can’t be beat when it

comes to providing

competitive

,

effective

,

efficient

, and

fast

solutions for your business.

COMPETITIVE

.

EFFICIENT.

FAST.

EFFECTIVE.

(8)

The Providence

Advantage

Solutions for Small Business Owners

Solutions for Vendors

“Financing a new company

is always a challenge, but

working with Providence

helped to make things

easier. Our rep walked us

through each step quickly

and professionally, and our

equipment was funded

within just a few weeks. I

found

them

honest,

straightforward,

and

a

pleasure to do business

with. I would recommend

Providence

to

anyone

seeking financing.”

-Bob S., President,

Footprints USA

Equipment Financing

When today’s equipment is likely to meet long-term

needs, purchasing is often the most cost-effective

acquisition choice. If, however, your needs are likely to

change within the next few years, leasing may be the

smarter alternative. Leasing allows you to acquire the

equipment you need today and use it cost-effectively until

it no longer meets your needs, then upgrade without

dealing with outdated items.

We can finance anything your company needs – from

tractors to computers to medical equipment – valued

anywhere from $5,000 to $5,000,000.

Leasing equipment conserves cash, protects you from

obsolescence, and gives you customized payment plans.

Business Financing

When money is tight, a

working capital loan

from

Providence Capital can be a quick and easy solution. We’ll

provide you with leverage for short-term creditors and

enable you to cover your company’s debt. We can provide

from $5,000 to $100,000 within 48 to 72 hours.

Our

Vendor Leasing Program

is a way for

us to assist your sales staff in selling

equipment to prospective customers.

The program provides your sales

representative with a financing package at

the time of the sale, when their customer is

most interested in acquiring equipment.

Our financing program can help you with

providing customers with an alternative to

large cash expenditures. It can also

eliminate frustration your customer may

have with their local bank. This can make

the difference between facilitating the sale

or losing the client.

At Providence Capital, we are here to offer you unique and effective solutions to help your business get started, grow, and gain a

competitive edge. We have

one of the highest approval ratios in the industry

and our leasing specialists

work with you from start

to finish

to guarantee you receive the satisfaction you deserve. We take a

“make sense approach”

to creating solutions: each of our

expert analysts reviews your company’s profile and makes a

human, holistic decision

in moving forward. Unlike many of our

competitors, we don’t use a computer-generated scoring system to evaluate your business. Our in-depth analysis of your company

and the information you provide allows us to

get you approved for more, faster, and more efficiently

.

Closing More Sales

– A prospective

customer’s ability to handle the capital

expenditure is often as much of a

consideration as the equipment itself.

Since sales are usually time-sensitive, the

ability to offer a customer an immediate

financing option will help you close more

sales and close them more quickly.

High Approval Ratios for Customers

– We

have one of the highest approval ratios in

the industry, meaning more customers will

be able to buy your equipment.

Selling Up

– The ability to provide a

potential customer with the option of a

few more dollars on a monthly lease

payment as compared to thousands more

on the invoice is a very powerful sales tool.

Increased Profit Margins

– By allowing us

to provide the equipment financing

required to close a sale, your sales staff will

have more time to focus on new clients,

while we remain in constant contact with

the client. You’ll be able to increase

product sales and reduce sales costs.

Call us toll-free for a free consultation! (800) 341-1288

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Your Lease Guide

For additional information, please contact

Jonathan Nery

Phone: (800) 341-1288 x103

Fax: (714) 985-6253

Commonly Financed Equipment

Assist a company’s growth through the acquisition and

financing of nearly any equipment used for business

purposes including:

Automobile lifts

Oil & Petroleum Equipment – Tanks, Pumps,

Trailers & Trucks

Automotive maintenance equipment

Emissions testing equipment

Cash registers

Computer hardware

Sanitation/ Janitorial Services

Software

Construction equipment

Photography equipment

Packaging and folding equipment

Food service equipment

Glass cutting machinery

Graphic design equipment

Heating and cooling equipment

IT equipment

Landscaping equipment

Laundry equipment

Lighting equipment

Office equipment and furniture

Telecommunication equipment

Point of sale equipment

Portable buildings

Printers and laminators

Test and measurement equipment

Scanning machines

Screen print systems

Sign industry machines

Stone cutting machinery

Surveying Equipment

Benefits of Financing

There are many benefits of equipment financing including

the following:

100% Financing.

Leasing covers 100% of the

equipment cost with room to add soft costs including

training, installation, and maintenance.

No Down Payment.

A security deposit equal to two

months rental payments is usually all that is required.

**Possible tax savings*.**

If a company is in the 34% tax

bracket and has a lease with a monthly payment of

$500, the payment may be reduced to $330 - that's a

monthly savings of $170 ($500 x 34%) or $2040

annually.

*

Consult your tax advisor.

Flexibility.

Customize a lease to fit your particular

situation with skip payments or seasonal payments.

Use inflation to your advantage.

If you pay cash for

your equipment, you pay with today’s dollars at

today’s value. Through leasing, you pay with next

year’s inflated dollars, and the next, and the next.

Increase profits immediately.

With leasing, you only

need to cover the monthly payment for the new

equipment to be profitable from the first month.

Example of the cost effectiveness of a lease:

A monthly payment of $500 divided by 30 days = a

daily cost of only $16.67! Divide $16.67 by 8

work-day hours to get an hourly cost of $2.36!

Preserve bank credit lines.

Leasing doesn’t affect

your bank borrowing limits. You still have 100% of

your credit available.

Avoid obsolescence.

Upgrade Leases are easy with

most modern equipment always available.

Conserve working capital.

Cash isn’t tied up in

overhead; it’s free for income producing investments.

Leases may have accounting benefits.

Monthly

payments may be deductible as operating expenses

rather than accounting for the equipment as an asset.

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$1 Buyout or Lease to Own

This non-tax lease allows the customer to own the equipment for $1 at the end of the lease. This lease will have the highest monthly payment. The following options are available at the end of the lease:

Purchase the equipment for $1

Upgrade the lease

This is a good option for equipment with a long useful life. Also called a capital lease and may be depreciated on the balance sheet.*

10% Purchase Upon Termination

(PUT)

Under this non-tax lease, the customer must purchase the equipment at the end of the lease at 10% of the original equipment cost. The following options are available at the end of the lease:

Purchase the equipment for 10% of the original cost

Upgrade or renew the lease

This lease is also called a Capital Lease and may be depreciated on the balance sheet.*

Fair Market Value (FMV)

This lease provides the lowest monthly payment and has three options at the end of the lease:

Purchase the equipment for the fair market value

Return the equipment

Upgrade or renew the lease

This is a good option for companies that upgrade to new equipment every few years. Also called a Tax Lease or True Lease because it usually qualifies as a tax deductible business expense. *

*All lessees should consult with their tax advisor on the specific impact to their business.

Payment

Type &

Features

Cash

Loan

Lease

Cash

Flow

Buying has an immediate impact on

cash flow by diminishing cash

reserves.

Down payment required and loan payments

are generally higher than lease payments.

No down payment required. Leasing usually

has less impact on cash flow due to lower

payments.

Line of

Credit

Liquid assets are depleted and may

affect credit.

Taps the line of credit.

Does not affect line of credit.

Equipment

Risk

The owner bears all the risk of

equipment devaluation. Obsolescence

must be tracked by the owner.

The owner bears all the risk of equipment

devaluation. Obsolescence must be tracked

by the owner.

In many leases, the burden of taxes and

insurance is managed by the lessor.

Asset

Liability

Owners must manage asset liability

on their books. Financial accounting

requires owned equipment to appear

as an asset with a corresponding

liability on the balance sheet.

Owners must manage asset liability on their

books and are required to have equipment

appear as an asset with a corresponding

liability on the balance sheet.

Operating lease assets are expensed. Such

assets do not appear on the balance sheet, which

can improve financial ratios.

Rate Risk

Cash should be used for income

producing investments since you pay

with today’s dollars at today’s value.

Banks prefer to loan money on a floating or

variable rate tied to prime. Rate risk is on

the customer, not the bank.

Payments are fixed for the lease term. Pay with

next year’s inflated dollars - take advantage of

inflation.

Soft Costs

Soft costs such as installation,

_{training can erode cash reserves.}

Banks rarely finance soft costs. Cash is

_{usually needed.}

Leasing may cover all soft costs including

_{maintenance and software.}

Upgrade

Owners must manage disposal/selling

of outdated equipment. This can slow

down the upgrade process.

Owners must manage the disposal/selling of

outdated equipment. This can slow down

the upgrade process.

Leasing allows for easy upgrades or additions

and keeps the same payment by simply

extending the lease term.

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CONTACT:

Rich DeMartin

(813) 319-2528

rich.demartin@tamcocorp.com

www.tamcocorp.com

Acquisition Options

So, you’ve evaluated your equipment options and made a choice. Many people think the most important

decision has been made, but they often overlook another important question: “How” are we going to pay

for this? At TAMCO, we offer options so you can absorb the acquisition without breaking the bank.

• Technology depreciates at an amazing rate. Do you really want to use your cash for a depreciating asset?

• Remember the rule of thumb: “Buy things that appreciate, lease or rent things that depreciate.”

• Borrowing from your bank can be complex and time consuming.

• Tapping your banking resource uses up borrowing power--tying up credit you may need for a more

tant or unexpected use in the future.

Why Leasing?

Truth be told, cash is always an option, but there are other ways. Before you spend your capital, consider this:

What are your options?

Rather than pay cash or take out

a loan from your bank, leasing

may be the answer:

CLEAR CHOICE IS LEASING

Lease

Buy

Cash Flow

Tax / Book Treatment

• Almost always better for company cash flow. • Leasing frees up cash to use for other purposes. • Company can generate income to pay for the lease.

• Sometimes the overall cost seems less (cash price is less than the payment iplied by the term) but this is often deceiving. • Consumes capital, thereby limiting your working capital and your ability to respond to business needs and growth.

• In many cases, a well tured lease will provide better--or at minimum, the same--write-offs than an outright purchase.

• For 2013, Section 179 of the IRS tax code allows nesses to deduct the full purchase price of qualifying equipment. In other words, you can take the full tion upfront, while paying the lease over time.

• Tax savings from purchased equipment come in the form of “depreciation” of asset based IRS codes. Of course, you have already laid out the full cash price.

You should speak with a qualified advisor about the benefits of leasing and the impact on your books and taxes. While leasing can provide tax benefits, every situation is different and laws vary by state and country.

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APPLICATION FOR CREDIT

Date Company’s Full Legal Name Company Website Equipment Supplier / Partner

Chief Executive Office Address City State Zip Code Sales Representative

Physical Address of Equipment City State Zip Code Federal Tax ID #

Name of Contact (all information REQUIRED) Title Phone Fax Email

Equipment Description Type of Business Date Established Business Structure Non-Profit Proprietorship Sub S (Please select one):

Corporation Partnership LLC Program Type (Please select one): Shield FMV Lease $1 Out Lease Maintenance information if applicable: Equipment Cost Term Payment Annual Maintenance Amount Warranty Period

$ ________________________ ______ months $ ________________/ month $ _____________________ _______ months

Note: A non-refundable processing fee will be due at contract execution

PERSONAL DATA: (PRINCIPALS OR OFFICERS) GUARANTOR INFORMATION REQUESTED FOR ALL BUSINESSES WHICH ARE SUB S CORPORATIONS,

PARTNERSHIPS, PROPRIETORSHIPS, AND PROFESSIONAL CORPORATIONS.

Principal / Officer 1: Full Legal Name Social Security # Home Phone Email

Date of Birth Home Address City State Zip

Principal / Officer 2: Full Legal Name Social Security # Home Phone Email

Date of Birth Home Address City State Zip

REFERENCES: LIST BUSINESS BANK, PREVIOUS BANK REQUIRED IF APPLICANT HAS BEEN AT PRESENT BANK LESS THAN TWO YEARS

Present Bank of Applicant: Previous or Second Bank of Applicant:

Branch Phone Branch Phone

Bank Officer Account Number Bank Officer Account Number

Lender References – Name and Address:

1. Phone Contact Person

2. Phone Contact Person

I hereby authorize TAMCO or any of TAMCO’S designated agents or assigns (“Creditor”) to investigate my credit report and to establish and maintain a file of personal information about me.

Signature, Principal / Officer 1: __________________________________________ Title: ___________________________________________________

Signature, Principal / Officer 2: Title:

GENERAL CREDIT GUIDELINES (Additional information may be requested if deemed necessary by credit officer)

 Applicants must be able to demonstrate that the business applying for credit has been established for 2 or more years.

 Transactions for Sole Proprietorships, Partnerships, Professional Corporations and Sub-S will require personal guaranty of the majority shareholders.

 Transactions < $50,000: Completed credit application, last 2 years accountant prepared financial statements or tax returns and current period interim statements if deemed necessary by credit officer, first and last month payments due at contract execution.

 Transactions > $50,000: Completed credit application, last 2 years accountant prepared financial statements or tax returns and current period interim statements are required, first and last month payments due at contract execution.

NOTICE: IF YOUR APPLICATION FOR BUSINESS CREDIT IS DENIED, YOU HAVE THE RIGHT TO A WRITTEN STATEMENT OF THE SPECIFIC REASONS FOR THE DENIAL. TO OBTAIN THE STATEMENT, PLEASE CONTACT THE LESSOR NAMED HEREIN WITHIN 60 DAYS FROM THE DATE YOU ARE NOTIFIED OF OUR DECISION. WE WILL SEND YOU A WRITTEN STATEMENT OF REASONS FOR THE DENIAL WITHIN 30 DAYS OF RECEIVING YOUR REQUEST FOR THE STATEMENT. THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT PROHIBITS CREDITORS FROM DISCRIMINATING AGAINST CREDIT APPLICANTS ON THE BASIS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, AGE (PROVIDED THE APPLICANT HAS THE CAPACITY TO ENTER INTO A BINDING CONTRACT); BECAUSE ALL OR PART OF THE APPLICANT’S INCOME DERIVES FROM ANY PUBLIC ASSISTANCE PROGRAM; OR BECAUSE THE APPLICANT HAS IN GOOD FAITH EXERCISED ANY RIGHT UNDER THE CONSUMER CREDIT PROTECTION ACT. THE FEDERAL AGENCY THAT ADMINISTERS COMPLIANCE WITH THIS LAW CONCERNING THIS CREDITOR IS FEDERAL TRADE COMMISSION, ECOA COMPLIANCE, WASHINGTON, DC 20581.

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U . S . B A N K E Q U I P M E N T F I N A N C E

S M A L L B U S I N E S S G R O U P

5.25%

for 36 months

Minimum transaction of $50,000

usbank.com

Terms: Subject to credit approval. Rates will vary for other terms and conditions. Rate offer may change without notice. Applies to applications received by August 31, 2013 with transaction funded by September 30, 2013. Member FDIC.

Together, we can take your business to the next level.

At U.S. Bank Equipment Finance, we know you work hard to grow your business.

We’d like to offer you an easy, quick and convenient way to acquire the equipment

you need. Apply now to take advantage of this limited time offer.

• Ability to finance up to 125% with soft costs

• One page application for requests up to $150,000

• New or used equipment

• Flexible financing terms

Financing, your way.

For more information, contact:

Now offering

5.5% for 48 months

5.75% for 60 months

Offer not valid for trucking, construction and restaurant industries

Name Yogi Daragchyan

Phone 818-995-4182 / 424-333-6687

Fax 818-475-5239

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Are there any suits, judgments or tax liens against the Applicant or any of the above principals, or has the Applicant or any of the above principals ever declared

bankruptcy? Yes No If yes, explain on a separate page.

Authorization

Applicant hereby authorizes U.S. Bank Equipment Finance, Inc. (“Equipment Finance”) and its agents (1) to obtain more credit information, including credit reports, about Applicant and its principals and/or co-owners and to make inquiries in connection with this Application; (2) to share credit information with Equipment Finance affiliates and agents, as well as Applicant’s other creditors, bureaus and persons who have or expect to have financial dealings with the Applicant or its principals named above; (3) to share collection information with Applicant’s other creditors. All the information in this Application is true, complete and correct. The person signing below on behalf of Applicant is authorized to make this Application on its behalf and to agree to the foregoing, and also has the authority to act for Applicant’s principals and co-owners in instructing Equipment Finance and its agents to obtain credit reports on them.

X

Signature Title Date

X

Signature Title Date

Equipment/Vendor Information

$

36 months 48 months 60 months

Other:

Amount requested Term Equipment Description

Vendor Name Vendor Address Vendor Phone

Yes No

Will the equipment be subleased? If so, to whom?

Customer Information

Company name (“Applicant”) Street address, City, State, Zip

County Contact e-mail address Address of physical location of equipment

Federal Tax ID # Phone Cell Phone Fax

Corporation Proprietorship Partnership LLC Yes No

Business type Sales tax exempt? If yes, attach exemption certificate. Company website

In business since Nature of business Current ownership since Fiscal year end

Insurance agent Agent phone

Business Banking Relationship

Bank name Bank officer Account number Telephone number Bank fax number

Principal Information

1.

Name/title % of ownership SSN Home address Home phone

2.

3.

Office use only

Banker Pref. ID Phone Branch #

U.S. Bank Customer U.S. Bank Prospect Walk-in COI

Source

Fax complete application to

Yogi Daragchyan YYD00 818-995-4182