Business Tanning Bed Financing Application

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Business Legal Name
Name		Phone
Business Address		No. of Years in Business
City	County	State	Zip
Description of Business		Proprietorship Partnership Corporation

Guarantors / Owners
Name		Social Security Number	Home Phone
Home Address		How Long?	Own or Rent?
City	County	State	Zip
Date of Birth	Annual Personal Income

Guarantors / Owners
Name		Social Security Number	Home Phone
Home Address		How Long?	Own or Rent?
City	County	State	Zip
Date of Birth	Annual Personal Income

Business Bank References
Bank	Business Checking Acct No.	Contact Person
Bank Phone	Date Account Opened	Average Balance

Trade References
Supplier Name	City/State	Supplier Phone	Contact Person
Supplier Name	City/State	Supplier Phone	Contact Person

Business Landlord / Mortgage Holder
Landlord Name	City/State	Landlord Phone	Contact Person

I hereby certify that the information contained on this application is true and accurate to the best of my knowledge. For the purpose of securing lease financing, I authorize all bank and trade reference information to be released by telephone or fax to MTI, Inc. or its agents.