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Secure Lease Application

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About You
Company Information
Owner Information
Equipment

ABOUT YOU

COMPANY INFORMATION

OWNER INFORMATION

EQUIPMENT DETAILS

By my/our signature on this Application, I/we hereby certify that all information contained in this application & attachments are true and complete and are made for the purpose of obtaining credit. I/we authorize JB II Funding Corp dba JB2 Funding, and/or its assigns, to verify any of the information above from whatever source it deems appropriate, which authorization shall extend to obtaining and review of my/our personal credit from a national credit bureau and subsequently for the purpose of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. I/we authorize any of the above references to release credit information to JB II Funding Corp. and/or its assigns. I/we also hereby authorize JB II Funding Corp dba JB2 Funding to send our company correspondence via fax, email or any other electronic transmission as it deems necessary. I/We understand that by providing the fax number(s) and email address above, on behalf of the company specified above, I/ am authorized to and hereby consent for the Company to receive faxes and emails sent by or on behalf of JB II Funding Corp and its affiliates. I acknowledge my rights under the F.C.R.A. It is understood that this Application shall remain the property of JB II Funding Corp. whether or not credit is granted and that this constitutes an application only and shall not be binding upon either JB II Funding Corp. dba JB2 Funding or the applicant. By signature, I/we affirm my/our identity as the respective individual/s identified in the above Application. If this Application for business credit is denied, you have the right to a written statement of the specific reasons for denial. To obtain a statement, please email your request to info@jb2funding.com or fax to 626-208-3790 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial of credit within 30 days of receiving your request for the statement. A facsimile of this application with signature shall be considered to be an original. This finance/lease application will be governed by the state law of California, following the Department of Business Oversight rules/regulations, Lender License # 603B550. If JB II Funding Corp dba JB2 Funding should act as a broker for a finance/lease, then the loan/lease will be governed by the Federal Laws and Regulations of the state in which that Lender resides or by the FDIC regulation of the bank brokered to. The undersigned hereby warrants that any individual identified above who is either a principal, a personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, has provided his/her written authorization for inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and shall hold JB II Funding Corp dba JB2 Funding and its assignees, agents or nominees harmless from same. You understand that such investigation may include seeking information as to the background, credit and financial responsibility of your officers and principals. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided the applicant has the capacity to enter into the binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act.

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