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Lease Application

* Indicates Required

Applicant Information

Current SCI Customer *
Marital Status *

Description of Business

Type of Business Entity*

Please Provide Information for all Partners, Owners, or Officers.

Owner/Partner/Officer

Owner/Partner/Officer #2

Owner/Partner/Officer #3

Lenders

Bank

Operating Lender

Machinery

Have you ever filed bankruptcy? *
Do you have any unsatisfied judgments? *
Do you have any accounts past due? *
Are you a party to a lawsuit? *

Financial Information

Information about equipment to be leased

A representative will contact you to customize lease terms.

For the purposes of obtaining credit, I (we) certify that all information on this application is true and correct. I grant SCI Leasing Group permission to obtain a credit report on me in connection with this transaction for all legitimate purposes. I (we) grant permission for the creditors listed above to provide all information requested by SCI Leasing Group. I (we) certify that this equipment is to be used for commercial, agricultural or business purposes and not for personal, family or household purposes.