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					                                                                                                                                           Date:                      June 25, 2011



                                                                                                                                              Lease Application

                           To begin your lease, please complete this application and submit it to Toni Rios by email, toni@abelcine.com, or fax to 888-860-
                           6848.
                           We will contact you upon receipt to discuss your application.




                           Company Name                                                                        DBA



                           Company Address                                    City                             State                               Zip
     Company Information




                           Telephone                                          Fax                              Contact Name



                           Nature of Business                                                                  Email address



                           Federal Tax ID #                                   Business Type - circle correct type:

                                                                                      PROPRIETORSHIP        PARTNERSHIP           C-CORP      S-CORP         NON-PROFIT         LLC
                           Date Established           State of Organization   Equipment Location



                           Principal #1                                       Title                            % Ownership                         Social Security#



                           Home Address                                                                        City, State, Zip
     Ownership




                           Email Address                                                                       Principal Signature



                           Principal #2                                       Title                            % Ownership                         Social Security#



                           Home Address                                                                        City, State, Zip



                           Email Address                                                                       Principal Signature



                           Bank Name #1                                       City                             State                               Phone
     Bank Information




                           Bank Contact Name                                                                   Account #                           Type of Account



                           Bank Name #2                                       City                             State                               Phone



                           Bank Contact Name                                                                   Account #                           Type of Account




I hereby certify that all information contained in this application, and all attachments hereto, are true and complete to the best of my knowledge
and are made for the purpose of obtaining credit. I authorize Abel Cine Tech, or its assigns, to verify any of the information from whatever
source it deems appropriate and I further authorize any references to release credit information.




DATE______________                                    SIGNATURE___________________________________                                                 TITLE______________




                                                                                                                                                                          16 Nov 2010

				
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