Business Information
Applicant First Name	Last Name
Business Name
Address 1
Address 2
City	State   AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA M MA MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    Zip
Phone	Fax (optional)
Business Type	- Select One - Proprietorship Partnership Limited Partnership Corporation LLC Corporation Non-Profit Public Company To be determined
Industry
Time in Business

Guarantor/Owner
Name
Phone
Address
City	State   AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA M MA MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    Zip
Position
Guarantor/Owner 2
Name
Phone
Address
City	State   AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA M MA MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    Zip
Position

Checking Information
Bank Name
Account #
Phone
Contact

Loan Information
Bank Name
Account #
Phone
Contact

Installment Debt (Business Equipment Financed or Leased)
Type
Name
Account #
Phone
Contact
Type
Name
Account #
Phone
Contact

Major Trade Accounts
Name
Account #
Phone
Contact
Name
Account #
Phone
Contact
Name
Account #
Phone
Contact

Landlord/Mortgage Holder
Name
Phone
Contact

Rep Name (if you are working with a TFS Rep.)

I hereby certify that the information contained in this application is true and accurate to the best of my knowledge. For the purpose of securing lease financing, I authorize all bank and trade reference information to be released by telephone or fax to Tommel Financial Services, Inc.

For account status please call us at (800) 544-1786. Thank you for your Lease Application!