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CNC Associates, Inc.

SECURE CREDIT APPLICATION

CNC Associates, Inc. 2900 Challenger Place, Oxnard CA 93030

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COMPANY INFORMATION

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1 Customer(s) are required

Customer 1

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EXISTING EQUIPMENT FINANCED WITH

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Reference 1

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Reference 2

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PRINCIPALS / OWNERS / GUARANTORS

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PRINCIPALS 1

Business

Individual

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First Name:

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PRINCIPALS 2

Business

Individual

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First Name:

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EQUIPMENT INFORMATION (Click on equipment description to edit item)

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1st Haas Machine:

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Haas Dealer:

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Sales Contact:

Dealer Quote No.

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Down Payment

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AUTHORIZATION FOR RELEASE OF CREDIT INFORMATION

I/we hereby authorize release of any and all credit information to CNC Associates, Inc., its designees, assigns or potential assigns that, in its sole discretion, CNC Associates, Inc., deems necessary to process this application for credit. I/we affirm that all financial and other information I/we have provided with regard to this application is true and correct as of the day I/we provided it. The person signing below on behalf of Applicant is authorized to make this Application on its behalf and to agree to the foregoing, and also has the authority to act for Applicant's principals and co-owners in instructing CNC Associates, Inc. and its agents to obtain credit reports on them.

Submitted By Name:

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Title:

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NOTE: After submitting your online application you will receive a confirmation email with your application number. If you do not receive, please call Charlene Olivarez at 805-278-8613 or by email at [email protected].

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