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Municipality

Please fill out this form for instant municipal approval :

I need funding immediately
Please secure a credit line for my municipality
I am looking for funding in 2-6 months

Legal Company Name *
Contact *
Physical Address *
Phone Number *
Federal Tax ID#
What is the nature of the organization (Business Type)?
Equipment Description
Equipment Cost
Desired Term (24, 36, 48, 60, 72 Months)
Residual (Buy Out) Desired ($1, 10%, Fair Market Value, etc.)
Was the equipment above placed for competitive bid/proposal of any kind? Yes No
Where does the funding for your organization originate?
What percentage of government support do you receive?
How much is your 2001 budget?
What is your projected budget for 2002?
How many employees work for your organization?
Are they salaried?
How many members does your organization have listed?
How long has your organization existed?
Who has authorization to sign this lease?
Are you incorporated?
If so, in what state and how is it listed?
Are there any restrictions with regard to the lease?
Is this lease subject to annual appropriations?
What is your organization’s geographic territory?
What is/are the sources of funding for repayment of the lease financing? (Local Tax Revenue, State Unrestricted Funds, State Categorical Revenue, Other) If other, please explain.
Are audited financial statements for the last (2) two fiscal periods available and will they be forwarded to CapitalWerks, LLC for review? Yes No
Name
Title
Date
Referring CapitalWerks Sales Rep (if any)

   


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Municipal Lease Tip #1
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