Municipal Financing Application

Municipality Information :

Address
Email
Contact Name
Contact Email
Alternate Contact
Alternate Contact Email
Type of Municipality
Fiscal Officer Name
Does the obligor self-insure for property & liability insurance?
Within the current calendar year, will or will you not issue $10,000,000 or more total debt including all bonds, loans and leases.

Equipment Information (Attach separate sheet if necessary)

Equipment Location
Equipment
Soft Costs Included?
Buyout Included?
Is the project a building?
What is the physical address of the new building/project?

Preferred Lease Term Length:

Length of Lease Term
Preferred Payment Mode
First Payment Due

Vendor Information (Attach separate sheet if necessary)

Vendor Contact email
Vendor Contact Name


By submitting this application, I (we) is (are) providing an Electronic Signature. An electronic signature, or e-signature, is any electronic means that indicates either that a person adopts the contents of an electronic message, or more broadly that the person who claims to have written a message is the one who wrote it (and that the message received is the one that was sent by this person). I (we) each individually as principals and/or guarantors of the Obligor, and on behalf of the Obligor (individually and collectively Applicant), hereby affirms that the foregoing information contained in this Credit Application is presented for the purpose of obtaining or maintaining credit as of the date indicated and is true, complete and correct. Applicant understands Terrace Finance (Lender or Lessor) is relying on this statement of our financial condition in extending or continuing to extend credit to Applicant. Terrace Finance, its affiliates, successors, designees or assigns is/are authorized to make any investigation of Applicants credit either directly or through any agency employed by Terrace Finance or that purpose. Applicant understands that Terrace Finance will retain this application whether or not credit is granted.

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Call John Papadopoulos 954-636-8571