abel_finance_application
Document Sample


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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