LEGAL BUSINESS NAME *

First Name

Last Name

PHONE *

(###)

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MAILING ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

CORP OFFICER NAME

First Name

Last Name

CORP OFFICER PHONE

(###)

###

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ACCTS PAYABLE NAME

First Name

Last Name

ACCTS PAYABLE PHONE

(###)

###

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OWNER #1 NAME *

First Name

Last Name

OWNER #1 HOME ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

OWNER #1 PHONE *

(###)

###

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TRADE REFERENCE #1 *

First Name

Last Name

REFERENCE #1 PHONE *

(###)

###

####

TRADE REFERENCE #2 *

First Name

Last Name

REFERENCE #2 PHONE *

(###)

###

####

REFERENCE #2 EMAIL *

First Name

Last Name

TRADE REFERENCE #3

First Name

Last Name

REFERENCE #3 PHONE

(###)

###

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PHYSICAL ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

EQUIPMENT SUPPLIER REP

First Name

Last Name

EQUIPMENT SUPPLIER PHONE

(###)

###

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RELEASE *

Applicant represents that this equipment is being leased for business and/or professional purposes and agrees that under no circumstances shall this lease be constructed as a consumer contract. The undersigned applies for the lease indicated in this application. Everything stated in this application is correct. Oak Funds Group may retain the application whether or not the lease is approved. Oak Funds Group and it's authorized affiliates are authorized to check my credit and employment history for the purposes of determining my credit worthiness at the time of my application or thereafter in connection with the same transaction or extension of credit and for the further purpose of reviewing the account, taking collection activity on the account, and skip tracing. Oak Funds Group and it's Authorized Affiliates are authorized to provide history information to others about my credit standing and your credit experience with me, including but not limited to credit bureau, other companies, outside collection agencies and outside attorney's.

I AGREE