E. V. BISHOFF COMPANY

E. V. BISHOFF COMPANY                     PLEASE TYPE OR PRINT CLEARLY

Corporate Lease Application

 

_____________________________________________________________________________________________
Corporate Name                                                  

____________________________________________________________________________________

dba

 

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Address                                           City                                                     State                                      Zip

_____________________________________________________________________________________
Contact person                                                                                     Title                                 

 

(           )                                                                                   (           )                                              

Area Code and Telephone                                                        Area Code and Fax Number

 

Proprietorship ______    Partnership ______    SCorporation______    Regular Corporation ___________

State of Incorporation                                                               Date of Incorporation                                                  

Number of Years in Business                                        EIN No.                                                          

List of Officers or Principals (including residential address, city, state, zip)

 

 

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Name                                                                 Address                                                             SSN

_____________________________________________________________________________________
Name                                                                 Address                                                             SSN

_____________________________________________________________________________________

Name                                                            Address                                                        SSN

References (List bank(s). Previous bank required if applicant has been at present bank less than two years).  The lease payments will be made through automatic withdrawals from Lessee’s bank account through Lessor’s EZ Pay Plan. 

                                                                                                                                                           

Bank                                                                                                    Branch (if applicable)

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Address                                                                        City                 State                Zip

_____________________________________________________________________________________
Name of Bank Officer                                                              Title

Checking Acct. No.                                                         Savings Acct. No.                                         

Authorized Signer of Checks                                                                    Title                                               

Provide three Loan / Lease / Trade references:

1.__________________________________________________________________________________________
   Name and address                                          Contact                                                Phone                                

2.__________________________________________________________________________________________
   Name and address                                              Contact                                                Phone        

3.__________________________________________________________________________________________
   Name and address                                             Contact                                                Phone                                

I unconditionally authorize the release of any credit and/or financial information to Lessor or Lessor's agent.  I further attest that I am authorized by the corporation to sign and executed this Lease Application on behalf of same. 

 

                                                                                                                                                                       

Name                                                                              Title

 

                                                                                   

Printed

 

Date                                                                           

 

[Please attach copies of incorporation papers]