Lake Equipment Leasing, Inc.
973-912-5005 
800-882-LAKE
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    WORK SOURCES


    EQUIPMENT PURCHASE INFORMATION 
    Make, Model/Description

    PERSONAL REFERENCES 


    The undersigned certifies that the information contained in this financing application is true and correct and authorizes Lake Equipment Leasing, Inc. and person to whom this application is made and any credit bureau or investigative agency to investigate the information contained with this application and obtain information about the undersigned’s accounts and credit experience. Such authorization shall extend to obtaining a credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit and for reviewing or collecting the resulting account. A photo static or facsimile copy of this authorization shall be valid as the original. 
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