OWNER / OPERATORS PLEASE ANSWER:
GUARANTOR
OWNER / OPERATORS ONLY PLEASE ANSWER:
CO-GUARANTOR / CO-SIGNOR (OPTIONAL)
HAUL/REVENUE SOURCE
CO-GUARANTOR OR CORPORATE GUARANTOR (OPTIONAL)
HAUL/REVENUE SOURCES
EQUIPMENT FINANCE HISTORY
NOTES / COMMENTS
The following authorization(s) shall apply to this application and subsequently for the purposes of update, renewal, or extension of such credit and for reviewing or collecting the resulting account. A photo, scan, fax, or electronic submission of this authorization shall be valid as the original. By signing below, applicant(s) hereby authorize the release of credit, banking, and insurance information to Lakeside International, LLC, and/or its designee(s) (and any affiliates, assignees, or potential assignees thereof, collectively, "Lakeside") from any source including credit bureau reporting agencies, applicants bank, and/or any other entity which applicant has a current or former business relationship. I hereby represent that all of the information contained in this credit application is true, correct, and complete. Applicant authorizes Lakeside to execute and file any UCC financing statements in its name upon approval of the loan and/or lease. Individuals signing below further represent themselves to be principals or authorized signers of applicant or personal guarantor of its obligations, and provide written authorization to review of his/her personal credit profile from a national credit bureau. A consumer report may be requested in connection with this application and, upon request, applicant will be informed whether or not a consumer report was requested, and if such report was requested, provided with the name and address of the consumer reporting agency that furnished the report. This signed application further authorizes Lakeside to contact and execute title or insurance transactions, including release of information and authorization to make changes, if required in connection with executing a loan or lease contract related to an equipment purchase.
EQUIPMENT FINANCE HISTORY
The following authorization(s) shall apply to this application and subsequently for the purposes of update, renewal, or extension of such credit and for reviewing or collecting the resulting account. A photo, scan, fax, or electronic submission of this authorization shall be valid as the original. By signing below, applicant(s) hereby authorize the release of credit, banking, and insurance information to Lakeside International, LLC, and/or its designee(s) (and any affiliates, assignees, or potential assignees thereof, collectively, "Lakeside") from any source including credit bureau reporting agencies, applicants bank, and/or any other entity which applicant has a current or former business relationship. I hereby represent that all of the information contained in this credit application is true, correct, and complete. Applicant authorizes Lakeside to execute and file any UCC financing statements in its name upon approval of the loan and/or lease. Individuals signing below further represent themselves to be principals or authorized signers of applicant or personal guarantor of its obligations, and provide written authorization to review of his/her personal credit profile from a national credit bureau. A consumer report may be requested in connection with this application and, upon request, applicant will be informed whether or not a consumer report was requested, and if such report was requested, provided with the name and address of the consumer reporting agency that furnished the report. This signed application further authorizes Lakeside to contact and execute title or insurance transactions, including release of information and authorization to make changes, if required in connection with executing a loan or lease contract related to an equipment purchase.
Guarantor #2 sign here, if applicable
ECOA NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, maritial status, age (provided 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, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington DC 20580. If your application for business credit is denied or conditionally approved, you have the right to a written statement of the specific reasons for the denial or the conditional approval. To obtain the statement, please contact Lakeside International, LLC at 11000 W. Silver Spring Rd., Milwaukee, WI 53225 within 60 days from the date you are notified of such denial or condition. We will send you a written statement of reasons for the denial within 30 days of receiving your request.
