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PINNACLE BUSINESS CAPITAL
PO Box 2185
Fairplay CO 80440

Lease Application
Ph (866) 612-9293
Fax (303) 731-4009
admin@pinnaclelease.com

    Company Information

    Full Legal Company Name

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    State

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    Contact Person

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    Website

    Nature of Business

    Fed. Tax ID#

    Time in Business

    Vendor Information

    Amount

    New or Used

    Equipment Description

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    Years at this Location

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    Personal Information for all Owners, Officers and Guarantors
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    Credit Authorization:
    Credit Authorization: I/We hereby authorize Pinnacle Business Capital, its designee, assigns or potential assigns to review his/her personal credit profile provided by national credit bureaus in considering this application and for the purpose of updating, renewing, extending additional credit or the collection of any late account. I/We hereby authorize our references to release all credit information and I/We represent and warrent that the information submitted herein is true, complete and accurate. A facsimile, electronic or other copy of this authorization shall be as valid as the original.