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Please
Email, Fax or Mail this app to:
Ph: 601-749-8424 Fax:
601-749-8425
Email: Lease@Mega-Vending.com
Mega-Vending.com
60
Long Lake Dr.
Carriere, MS 39426
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Lease Application
Date: File # BT
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By signing below, the undersigned
individual, who is either a principal of the credit applicant or a personal
guarantor of its obligations, provides written instruction to Lease2Loan or its
designee (and any assignee or potential assignee thereof) authorizing
review of his/her personal credit profile from the national credit
bureaus. Such authorization shall extend to obtaining a credit profile in
considering this application and subsequently for the purposes of update,
renewal, or extension of such credit or additional credit and for reviewing
or collecting the resulting account.
A photostat or facsimile copy of this authorization should be valid as
the original. By signature below, I/we
affirm my/our identity as the respective individual(s) identified in the
above application. In addition, I hereby authorize our banks, trade
references, and financial institutions to release credit information to
Lease2Loan and/or its assigns.
X ____________________________
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