Financing
Business Information FULL LEGAL NAME OF BUSINESS FEIN # Lease Application STATE OF INCORPORATION CORPORATION PARTNERSHIP LLC OTHER YEARS BUSINESS IN OPERATION CORPORATE/BILLING STREET ADDRESS CITY, STATE, ZIP CODE EQUIPMENT LOCATION ADDRESS CITY, STATE, ZIP CODE BUSINESS PHONE NO. ( ) BUSINESS REAL ESTATE RENT OWN LANDLORD /MORTGAGE HOLDER PHONE NO. ( ) TYPE OF ACCOUNT BUSINESS PERSONAL HOW LONG? CHECKING ACCT. NO. HIGH CREDIT AMOUNT HOW LONG? BANK OFFICE SAVING ACCT. NO. CONTACT Principal Information (Primary) PRINCIPAL'S FULL NAME (Last Name, First, MI) TITLE OWNERSHIP % PHONE NO. ( ) LOAN NO. PHONE NO. ( ) SOCIAL SECURITY NO. PRINCIPAL'S STREET ADDRESS HOW LONG? BIRTHDATE (Mo/Day/Yr) CITY, STATE, ZIP CODE E-MAIL ADDRESS CURRENT EMPLOYER Principal Information (Secondary) PRINCIPAL'S FULL NAME (Last Name, First, MI) TITLE RENT OWN HOW LONG? HOME PHONE NO. ( ) CELL PHONE NO. ( ) SALARY U.S. CITIZEN YES NO OWNERSHIP % SOCIAL SECURITY NO. PRINCIPAL'S STREET ADDRESS HOW LONG? BIRTHDATE (Mo/Day/Yr) CITY, STATE, ZIP CODE E-MAIL ADDRESS CURRENT EMPLOYER RENT OWN HOW LONG? HOME PHONE NO. ( ) CELL PHONE NO. ( ) SALARY U.S. CITIZEN YES NO Authorization to Release Bank Information I/We hereby authorize Life Fitness, or its designee, to investigate my/our financial responsibility and credit worthiness. This is my/our authorization for the herein listed bank reference(s) to release any information requested by telephone as part of normal procedures. I hereby represent all information is true, correct and complete. A photostatic copy of this authorization shall be valid as the original. Authorized this day of , 20 Company Name Authorized Signature Title Additional financial information may be required for lease requests over $75k and start up transactions. See next page for list of financial information. EQUAL CREDIT OPPORTUNITY ACT. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Life Fitness, 9525 Bryn Mawr Ave, Rosemont, IL 60018 at (847) 288-3300 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580. FCRA AUTHORIZATION TO CONDUCT CREDIT INQUIRY ON INDIVIDUAL OWNERS/SOLE PROPS: By submitting this application, the undersigned warrants that the applicant and each individual listed as principal, owner, partner, guarantor or obligor consent, authorize and warrant that Life Fitness and companies to whom it refers this application, may obtain commercial and consumer credit reports, investigate references and statements, and make other credit inquires about the applicant and all such individuals, and anybody contacted in connection therewith may release any credit and financial information. Life Fitness Leasing Basic Credit Review Requirements 1. Complete lease application 2. Last two years' Fiscal Year End Financial Statements* or Business Tax Returns, including all schedules 3. Year-to-date Interim Financial Statements 4. Current, signed Personal Financial Statements for principal stockholders 5. Last two years' Federal Tax Returns, including all schedules, for principal stockholders 6. For start-ups, a Business Plan and Projections are required 7. For existing (current) lessees, only updated app and last two months bank statements required * Financial statements are composed of a balance sheet, income statement, accountant's statement and notes; cash flow statements are helpful but not required. ©2019 Life Fitness, LLC. All Rights Reserved. Life Fitness, Hammer Strength, Cybex, ICG and SCIFIT are registered trademarks of Life Fitness, LLC and its affiliated companies and subsidiaries. Brunswick and related trademarks used under license from Brunswick Corporation. (6.19)Adobe PDF Library 15.0