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Llc Operating Statement - DOC

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Llc Operating Statement - DOC Powered By Docstoc
					                                                                                                                           EQUIPMENT FINANCE
                                                                                                                              APPLICATION
                                                                                                               IN COOPERATION WITH NORTH STAR FUNDING & LEASING CORP.
                                                                                                               Rick Arredondo (877) 377-5100 X 5735
                                                                                                               FAX APPLICATION TO (877) 377-5105
COMP LETE LEGAL NAME OF COMP ANY                                                                 FEDERAL TAX ID                            DATE STAR TED              D & B NUMBER


DESCRP ITION OF WHAT COMP ANY DOES                              WEBSITE                                 BUSINESS STRUCTURE ( Check box)                                            STATE OF INCORP

                                                                www.
                                                                                                         P roprietorship    P artnership     Corporation      LLC       Other

                                                ** Please include business entity documents **
Sole Proprietorship = Business license or fictitious name statement LLC = Operating agreement Corporation = Stamped articles Partnership = Signed agreement
COMP ANY ADDRESS (STREET ADDRESS, CI TY, S TA TE, ZIP )                                          TELEP HONE                    FAX                       EMAIL OF CONTACT P ERSON




BUSINESS BANK – CONTACT P ERSON                                                                  ACCOUNT #                                   TELEP HONE                   AVG BALANCE LAST 3 MO
                                                                                                                                                                          $
    ** Please include last 3 months business bank statements (Front page ONLY) **
TRADE REFERENCE #1 – CONTACT P ERSON                                                             ACCOUNT #                                   TELEP HONE                   TERMS (NET 30, O THER)


TRADE REFERENCE #2 – CONTACT P ERSON                                                             ACCOUNT #                                   TELEP HONE                   TERMS (NET 30, O THER)


OTHER BUSINESS LOAN OR EQUIP MENT LEASE – CONTACT P ERSON                                        ACCOUNT #                                   TELEP HONE                   ORIGINAL LOAN AMOUNT
                                                                                                                                                                          $
P RINCIP AL/OFFICER/P ARTNER #1                       TI TLE                              OWNERSHIP           SOC. SEC. #                  CURRENT DEROGATORY ACCTS ON CREDI T REP ORT?
                                                                                                     %                                     Yes        No            If Yes, $               past due
COMP LETE HOME ADDRESS (STREET ADDRESS, C ITY, S TATE, ZIP )
                                                                                                                                                                        Own                Rent
P RINCIP AL/OFFICER/P ARTNER #2                       TI TLE                              OWNERSHIP           SOC. SEC. #                  CURRENT DEROGATORY ACCTS ON CREDI T REP ORT?
                                                                                                     %                                     Yes        No            If Yes, $               past due
COMP LETE HOME ADDRESS (STREET ADDRESS, C ITY, S TATE, ZIP )
                                                                                                                                                                        Own                Rent
P RINCIP AL/OFFICER/P ARTNER #3                       TI TLE                              OWNERSHIP           SOC. SEC. #                  CURRENT DEROGATORY ACCTS ON CREDI T REP ORT?
                                                                                                     %                                     Yes        No            If Yes, $               past due
COMP LETE HOME ADDRESS (STREET ADDRESS, C ITY, S TATE, ZIP )
                                                                                                                                                                        Own                Rent
EQUIP MENT VENDOR – CONTAC T P ERSON                                                TELEP HONE                    EMAIL                                               RESALE NUMBER


EQUIP MENT DESCRIP TION                                                                                           # OF P IECES       NEW OR USED                      TOTAL COS T
                                                                                                                                        New          Used             $
The above information, together with any accompanying financial statements, schedules, or other materials, is submitted for t he purpose of obtaining credit and is warranted to be true, correct and
complete. The undersigned hereby warrants that any individual identified above who is either a principal, a personal guarant or or a sole proprietor of the cr edit applicant, recognizing that his or her
individual credit history may be a factor in the evaluation of the credit history of the applicant, has provided his/her writ ten authorization for inquiry into their credit worthiness, including but not
limited to obtaining a consumer cred it report, and shall hold North Star Funding & Leasing Corporation and its assignees, agents or nominees harmless fro m sa me. You understand that such
investigation may include seeking information as to the background, credit and financial responsibility o f your officers and principals (or any of them). A photo static or facsimile copy of this
authorization shall be valid as original.



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                                                          Signature                                                                                                   Date


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                                         Name (Please print)                                                                                                Title

				
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