BUSINESS/OWNERSHIP INFORMATION

Contact Name		Date
Company
Website		Phone
E-Mail		Fax
Address
City	State	County
Business Type		Date EST.
Fed Tax Id #		Years Ownership Yrs/Curr Address
Structure Of Ownership	Choose one C-Corp S-Corp Proprietorship Partnership Public L.L.C.	State Of Organization
1. Principals Name		Title
Drivers Lic#		Soc. Sec. #
% of Ownership		Phone Number
Home Address
2. Principals Name		Title
Drivers Lic#		Soc. Sec. #
% of Ownership		Phone Number
Home Address

BANKS AND LENDERS

1. Bank/Lender		Officer
Phone Number	Type of Account Choose One Checking Account Savings Account Lease Loan
Name On Account		Account#
Date Opened		Balance
2. Bank/Lender		Officer
Phone Number	Type of Account Choose One Checking Account Savings Account Lease Loan
Name On Account		Account#
Date Opened		Balance

TRADES

1. Company Name
Location
Phone
Account# or Contact
2. Company Name
Location
Phone
Account# or Contact

EQUIPMENT

Vendor
Contact Name
Phone
Term
Cost
Equipment Description
Delivery Date
P.O. Needed