Equipment Vendors Benefits of Leasing Leasing Programs Apply Now Contact Wasco ONLINE CREDIT LEASE APPLICATION Business Legal Name (and DBA if applicable) Street Address City State Zip Phone Fax Type of Business State of Incorporation Time In Business under Current Ownership Federal ID Number Type of Ownership Partnership LLC Proprietorship Corporation PRINCIPAL INFORMATION (100% Ownership disclosure required. Principals listed will be required to guaranty lease.) Officer's Name Title Ownership % Social Security # Present Address City State Zip Home Phone Number Officer's Name Title Ownership % Social Security # Present Address City State Zip Home Phone Number BANK/CHECKING & SAVING (If check acct. less than 2 years; provide previous acct. number/bank) Bank Name Phone Fax Officer Account Number How Long Account Type CK SV CD Bank Name Phone Fax Officer Account Number How Long Account Type CK SV CD EQUIPMENT LOANS/LEASES (Open or Paid) Firm Name Phone Fax Contract/Account Number High Credit How Long TRADE REFERENCES Firm Name Phone Fax Contract/Account Number High Credit How Long Firm Name Phone Fax Contract/Account Number High Credit How Long EQUIPMENT TO BE LEASED Vendor Name Contact Phone Equipment Description Equipment Cost Is Equipment: NEW USED BOTH If Used, How Old? Equipment Location (if other than above) Term Requested: 24 Months 36 Months 48 Months 60 Months Other AUTHORIZATION By authorizing below, each undersigned individual(s) who is either a principal of the credit applicant listed above or a personal guarantor of its obligations, provides written instruction to WASCO Capital Services, LLC or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update, renewal or extension of such credit and for reviewing or collecting the resulting account. A Photostat or facsimile copy of this authorization shall be valid as the original. I hereby authorize our banks, trade references, and financial institutions the right to release credit information. Name Title Date Submit Application  ©2006-2008, Wasco Capital Services, LLC Website | Impression Technologies, LLC