PRINCIPALS / OFFICERS / GUARANTORS

please note that personal information provided in this section will be used for personal guarantees. If you do not want to provide a personal guaranty, please provide the name and title for the individual to sign the financing paperwork on behalf of the entity.

PRINCIPALS / OFFICERS / GUARANTORS : 1

Name*

Address*

City*

State*

Zip*

Home Phone #*

SSN*

Date of Birth (mm/dd/yyyy)

Title*

% Ownership*

US Citizen*

Yes

Felony*

Yes

If Felony= Yes: Explain

PRINCIPALS / OFFICERS / GUARANTORS : 2

Name*

Address*

City*

State*

Zip*

Home Phone #*

SSN*

Date of Birth (mm/dd/yyyy)

Title*

% Ownership*

US Citizen*

Yes

Felony*

Yes

If Felony= Yes: Explain

ADDITIONAL INFORMATION

Insurance Agent*

Phone Number*

Please check any that apply and provide additional information:

Repossessions*

Yes

Details*

Tax Liens*

Yes

Details*

Bankruptcy*

Yes

Details*

Judgements*

Yes

Details*

I (We) make this application to Midwest Transit Equipment (MWT) for a lease/finance line of credit and give the above information to (MWT) in order to obtain this credit. I (We) authorize (MWT) and any lending institution permission to obtain information concerning any statements made herein and understand that a credit report may be requested in connection with this application and any subsequent update, renewal, or extension of credit. To the best of my knowledge, the information I (we) have provided is true and grant permission to verify this information and make necessary credit checks using a facsimile signature as an original signature.

EQUAL CREDIT OPPORTUNITY ACT. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact us at Midwest Transit Equipment, Inc., attention Craig Cadle, 146 W. Issert Drive, Kankakee, IL 60901 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. NOTICE: 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, age (provided the applicant has the capacity to enter into a 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. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.

Applicant*

Date*

Applicant*

Date*

ATTACH LAST THREE MONTHS BANK STATEMENTS (first page), MOST RECENT MORTGAGE STATEMENT, AND MOST RECENT FINANCIAL STATEMENTS. (balance sheet and income statement) A COPY OF A CURRENT DRIVER’S LICENSE OR OTHER GOVERNMENT-ISSUED PHOTO IDENTIFICATION FOR EACH SIGNOR MUST ACCOMPANY THIS APPLICATION.

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