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Mark S. Beck, President
The Interbanc Group
Phone 323-822-1908
Webpage: www.interbancgroup.com
Email: mark@interbancgroup.com
Fax 323-822-9268

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ADDRESS:
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PHONE:
Contact   FAX:    EMAIL:
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NAME:
ADDRESS:
CITY, ST, ZIP:
PHONE:
Contact   FAX:    EMAIL:
S CORPORATION CORPORATION PARTNERSHIP PROPRIETORSHIP YEAR FORMED:
LLC   LLP
WHAT DOES THE COMPANY DO:   FED TAX ID:
 EQUIPMENT: 
COST OF EQUIPMENT (EXCLUDING TAX): $
Equipment Location: Same Different
 NEW USED
TERMS REQUESTED
12
24
36
48
60
MONTHS $
% TAX $
TOTAL $
PURCHASE OPTION
FMV
Fixed $
Fixed %
ADVANCE RENTALS
FIRST & LAST PMT.
OTHER
DOC FEE $
BANK:  PHONE:  CONTACT:
 CHECKING#:  LOANS#:  SAVINGS#:
 
BANK:  PHONE:  CONTACT:
 CHECKING#:  LOANS#:  SAVINGS#:
TRADES:
  
PHONE:
  
CONTACT/ACCOUNT NO.:
OWNER/OFFICER
NAME:   POSITION:
ADDRESS:
CITY, ST, ZIP:
HOME PHONE:
SOC. SEC#:    STOCK%:
OWNER/OFFICER
NAME:   POSITION:
ADDRESS:
CITY, ST, ZIP:
HOME PHONE:
SOC. SEC#:    STOCK%:
 
 
Copyright 2005 - The Interbanc Group - 16133 Ventura Blvd. 7th Floor Encino, CA 91436  -  Phone 323-822-1908   Fax 323-822-9268
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