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General Information
All fields required unless marked optional.
Contact
Second/Alternative Contact
Misc. Information
Does the obligor self insure for property and liability insurance?
Transaction Information
Payment Due
Payment Information
All fields required unless markedoptional.
Has the obligor paid, or does the obligor intend to pay, a vendor for any portion of the equipment being financed with the intent of being reimbursed with proceeds from this financing?
How will the payments be made?
What fund will the remaining contract payments be made from?
Will any federal money be applied to the contract payments? If yes, please explain.
Equipment Information
Is the equipment new?
Is the equipment refurbished?
Is the equipment a replacement?
Are buyouts included?
Are soft costs included? (Shipping, software, sales tax)
Building Project
What type of project is this?
Does the obligor own the land?
Is the land included in the financing?
Building Location
Current Building Information
Financial Information
All fields are required unless marked optional.
If the obligor's expenditure exceeded revenues for any one of the last three years, explain why and what measures were taken to correct the shortfall
Have the requested contract payments been included in the operating budget?
Will the obligor issue more than $10,000,000 in tax-exampt debt in this calendar year?
Has the obligor defaulted or non-appropriated on a prior lease, bond or legal obligation?
Financial Information - Required
Upload the two (2) most recently completed audits. Must upload a PDF (.pdf) file.
If the fiscal year end of the audit is more than three (3) months ago, also provide current year-to-date Balance sheet and Debt Service Commitments and Income Statement. Must upload a PDF (.pdf) file.
Current Budget: Must upload as a PDF (.pdf) file.
If available, include next year's budget. Must upload as a PDF (.pdf) file.
For any unaudited fiscal year provide comprehensive financial statements to include a Balance Sheet a with Debt Service Commitments and an Income Statement in place of the audits. Must upload as a PDF (.pdf) file.
Without complete financial information, the credit review process may be delayed. Please call if you have any questions or concerns prior to returning, this application to Lease Corporation of America.
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