Springs Capital Group Finance Application (Equipment Lease) Step 1 of 7 14% CUSTOMER INFORMATIONCOMPLETE LEGAL NAME OF BUSINESS (including any dba’s):* DATE BUSINESS STARTED: (under current ownership): LEGAL STRUCTURE: SOLE PROP LLC NON-PROFIT S-CORP. C-CORP. PARTNERSHIP MAILING ADDRESS OF BUSINESS:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code IS THE EQUIPMENT LOCATED AT A PHYSICAL ADDRESS DIFFERENT THAN ABOVE No Yes PHYSICAL ADDRESS OF EQUIPMENT: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PHONE NUMBERFAX NUMBERCONTACT PERSON First Last E-MAIL ADDRESS HiddenFEDERAL TAX ID# TYPE OF BUSINESS HAS THE BUSINESS OR ANY PRINCIPAL/ OWNER EVER DECLARED BANKRUPTCY? No Yes OWNER/STOCKHOLDER INFORMATIONIS THERE MORE THAN ONE PRINCIPAL? No Yes PRINCIPAL #1 NAME First Last % OWNERSHIPTITLE HiddenSOCIAL SECURITY # DOB MM slash DD slash YYYY OWN/RENT Own Rent Third Choice HOME ADDRESS Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HOME PHONE 2) PRINCIPAL #2 NAME First Last 2) % OWNERSHIP2) TITLE Hidden2) SOCIAL SECURITY # 2) DOB MM slash DD slash YYYY 2) OWN/RENT Own Rent Third Choice 2) HOME ADDRESS Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 2) HOME PHONE BANK REFERENCECREDITOR ACCOUNT # CONTACT First Last PHONEPLEASE UPLOAD THE FRONT PAGE OF YOUR MOST RECENT THREE (3) MONTHS BANK STATEMENTS: Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 64 MB. LEASE/LOAN REFERENCECREDITOR ACCOUNT # CONTACT First Last PHONE VENDOR/EQUIPMENT INFORMATIONVENDOR NAME ADDRESS Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CONTACT First Last PHONETYPE OF EQUIPMENT APPROXIMATE COSTTERM REQUESTED (MONTHS) 24 36 48 60 END OF TERM $1 out 10% FMV AGE OF EQUIPMENT New Used MODEL YEAR PLEASE ATTACH EQUIPMENT QUOTE OR INVOICE, IF AVAILABLE Drop files here or Select files Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 64 MB. CREDIT RELEASE AUTHORIZATIONEach of the above listed individuals is/are willing to serve as guarantor of the above transaction. Each of the undersigned on his or her behalf, authorize(s) Springs Capital Group and its nominees to periodically obtain, and all such parties to release, credit and financial information (personal or business) and all financial and other information submitted with this application including obtaining a credit report requested by Springs Capital Group or its nominees and for such parties to provide information to others regarding their relations with the undersigned. I/We authorize making continued inquiries about such information and obtaining a credit report during the term of my lease(s) or other contracts as necessary to administer my leases and contracts and or accounts. I authorize all past or present creditors to release any and all necessary credit information and to respond to requests for information. I/we completed this application to obtain credit for the applicant and certify that all statements contained herein are true and correct. I certify that the leases, loans or other contracts applied for herein are for business and/or commercial purposes and not for personal purposes. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age provided that the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. A number of federal agencies share enforcement responsibility for this law. Determining which agency to contact depends on the type of creditor you dealt with. Consult the creditor to whom this application is addressed for information on its regulator, or contact The Federal Trade Commission, Consumer Response Center, Washington D.C. 20580, 1-877-382-4357.NAME (PRINCIPAL #1) SIGNATURE (PRINCIPAL #1)TITLE (PRINCIPAL #1) DATE (PRINCIPAL #1) MM slash DD slash YYYY CREDIT RELEASE AUTHORIZATIONEach of the above listed individuals is/are willing to serve as guarantor of the above transaction. Each of the undersigned on his or her behalf, authorize(s) Springs Capital Group and its nominees to periodically obtain, and all such parties to release, credit and financial information (personal or business) and all financial and other information submitted with this application including obtaining a credit report requested by Springs Capital Group or its nominees and for such parties to provide information to others regarding their relations with the undersigned. I/We authorize making continued inquiries about such information and obtaining a credit report during the term of my lease(s) or other contracts as necessary to administer my leases and contracts and or accounts. I authorize all past or present creditors to release any and all necessary credit information and to respond to requests for information. I/we completed this application to obtain credit for the applicant and certify that all statements contained herein are true and correct. I certify that the leases, loans or other contracts applied for herein are for business and/or commercial purposes and not for personal purposes. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age provided that the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. A number of federal agencies share enforcement responsibility for this law. Determining which agency to contact depends on the type of creditor you dealt with. Consult the creditor to whom this application is addressed for information on its regulator, or contact The Federal Trade Commission, Consumer Response Center, Washington D.C. 20580, 1-877-382-4357.NAME (PRINCIPAL #2) SIGNATURE (PRINCIPAL #2)TITLE (PRINCIPAL #2) DATE (PRINCIPAL #2) MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.