Credit Application

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Financing

To stay competitive and lower your manufacturing costs, you must take advantage of the most advanced machine tool manufacturing technology. This requires investing your hard-earned cash. Now, by working with Single Source Technologies Capital Services, you'll find flexible, affordable financing and the widest range of high-quality machines to help achieve your business objectives.

Single Source Technologies Capital Services offers you a full range of financing options. We will work with you to structure a program that meets your capital and cash flow requirements.

Amount Requested: $ Equipment:

Customer Information

*Legal Business Name:

DBA (if applicable):

Fed Tax ID#:

Street Address Line 1:

Street Address Line 2:

City:

State:

Zip:

Company Web site:

Date Business Started:

Current Ownership Since:

Business Type:

Ownership Information

First Name:

Last Name:

Title:

Home Street Address Line 1:

Home Street Address Line 2:

City:

State:

Zip:

Phone:

% Ownership:

First Name:

Last Name:

Title:

Home Street Address Line 1:

Home Street Address Line 2:

City:

State:

Zip:

Phone:

% Ownership:

Reference Information

Bank #1 Name:

Account #:

Contact:

Phone:

Fax:

Equipment Finance Reference:

Account #:

Contact:

Phone:

Fax:

Trade #2 Reference:

Account #:

Contact:

Phone:

Fax:

Trade #3 Reference:

Account #:

Contact:

Phone:

Fax:

Finance Structure

Equipment Cost:

Down Payment / Trade-In:

Finance Amount:

Contract Term:

Advance Rental Payments:

Structure:

Special Considerations:

Applicant hereby authorizes Makino, Inc. and its agents (1) to obtain more credit information about the company and its principals and to make inquiries in connection with this application; (2) to share credit information with Makino affiliates and agents as well as applicant's other creditors, bureaus and persons who have or expect to have financial dealings with the applicant or his or her principals named above; (3) to share collection of information with applicant specified herein and other creditors. All the information in this application is true, complete and correct. The persons who checked “yes” on behalf of applicant are authorized to make this application on his or her behalf and agree to the foregoing.

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