Initial Proposal Non Profit by xsm11770

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									                                                                                                                         2/25/2011
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As the preferred lease source, CleanLease is pleased to present the following lease options:

  Equipment Selling Price (less tax) to be financed:                     $25,000.00



          Equipment Description to be financed:                          (Enter Equipment Description)


Lease/Loan Proposal 1:                                   $1.00 Purchase Option at End of Lease/Loan
Lease Term:                                             24                          36                      48                  60
Monthly Payment: *                                 $1,209.50                   $857.50                   $681.25            $573.50
Daily Lease Cost (30 day mo.):                       $40.32                     $28.58                   $22.71              $19.12
Purchase Option:                                      $ 1.00                     $ 1.00                   $ 1.00              $ 1.00
# of Advance Payments:                                   1                          1                        1                   1
Initial Payment Due: *                           1st + Doc Fee              1st + Doc Fee              1st + Doc Fee      1st + Doc Fee
* All costs are subject to sales/use tax where applicable and a one-time documentation fee of $90.00

You may purchase the equipment for $1.00 at the end of the lease/loan.


Lease Proposal 2:                                                    10% Purchase at End of Lease
Lease Term:                                             24                          36                      48                  60
Monthly Payment: *                                 $1,121.50                   $802.75                   $643.00            $544.75
Daily Lease Cost (30 day mo.):                       $37.38                     $26.76                   $21.43              $18.16
Purchase Option:                                       10%                        10%                      10%                 10%
# of Advance Payments:                                   1                          1                        1                   1
Initial Payment Due: *                           1st + Doc Fee              1st + Doc Fee              1st + Doc Fee      1st + Doc Fee
* All costs are subject to sales/use tax where applicable and a one-time documentation fee of $90.00

You purchase the equipment for 10% of the equipment cost at the end of the lease.


All above rates are based on "Premier Pricing"
Call for rates under $5000.00 and over $35,000.00         1-800-570-0873
For questions regarding the equipment or financial options, please contact your equipment
supplier below.

                 Equipment Supplier: (Enter Vendor Name)
       Supplier Sales Representative: (Enter Vendor Salesperson's Name)
      Equipment Supplier Telephone: (Enter Vendor's Phone #)
                   E-Mail Address: (Enter E-Mail Address)
                                                                                                         04e98581-f4cd-4bb6-aaa5-7a49610ae08c.xls
                                                                                                                                      A Nilfisk-Advance Program
                                                                                                                                                  www.cleanlease-us.com


                                                       INDUSTRIAL APPLICATION
                                                                                                           3893 Research Park Drive, Ann Arbor, MI 48108
                                                                                                                 Phone: 800.348.9196 Fax: 800.968.2808
            COMPLETE LEGAL COMPANY NAME                                                                             SUPPLIER
Name                                                                                   Name

Address                                                                                Address

City/State/Zip                                                                         City/State/Zip

Telephone Number                          Fax Number                                   Telephone Number                          Fax Number

Contact Person                            Email Address                                Contact Person                            Email Address


OFFICERS/OWNERS/PARTNERS INFORMATION
Name                                                           % Ownership             Name                                                           % Ownership

Address                                                                                Address

City/State/Zip                                                                         City/State/Zip

Home Telephone Number                     Social Security Number                       Home Telephone Number                     Social Security Number


EQUIPMENT DESCRIPTION
          ___ New             ___ Used                                                 Equipment Location (if other than above)



Nature of Business                                                                     Time in Business                          State of Incorporation

Type of Business:
                       __ Corporation        __ Partnership       __ Proprietorship       __ Non-Profit       __ Government            __ Other       ____________


Term ___________                                              Purchase Option:         ___ FMV              ___ 10%              ___ $1.00            ___ Other

                    Security Deposit(s)                                            OR                                         Advance Payment(s)
       ___ 0               ___ 1                 ___ 2                                                            ___ 0             ___ 1                    ___ 2

                 Monthly Payment $ __________                  Plus Tax $             ___________                              Total Payment $ __________
                                                               (if applicable)
BANK
Type of Account                           Account Number                               Contact                                   Telephone Number


TRADES
Business Name                                                  Telephone Number                             Contact

Business Name                                                  Telephone Number                             Contact

Business Name                                                  Telephone Number                             Contact


SIGNATURE RELEASE
It is expressly understood that this constitutes an application only and in itself shall not be binding upon either party. Additionally, I/we authorize Nilfisk-Advance,
Inc. (and its designee or assignee) to investigate the banks, savings and loan and trade reference listed, and if required by Nilfisk-Advance, Inc. (and its designeeor
assignee), to perform personal credit investigations on the corporate principals, partners, or proprietor listed above.



Authorization: ____________________________________________                                                              Date: ____________________

Authorization: ____________________________________________                                                              Date: ____________________

								
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