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DOCUMENTATION INSTRUCTIONS F00 LEASE NUMBER ,.-m..i_a,57 <br />The instructions listed below should be followed when completing the enclosed documentation. Documentation completed improperly will delay funding, <br />If you have any questions regarding the instructions or the documentation, please call us. <br />AND LOCAL GOVERNMENT LEASE -PURCHASE AGREEMENT <br />1. Bank Qualification Section <br />• Read and check box if appropriate <br />2. Lessee Signature <br />• Print name, title, sign and date (must be authorized officer) <br />II. ATTACHMENT 1 — LEASE PAYMENT SCHEDULE <br />........ <br />• Print name, title, sign and date <br />III ATTACHMENT 2 EQUIPMENT DESCRIPTION ,(WHEN PJ OVIDED) <br />__ <br />• Print name, title, sign and date <br />SPECIFIC ADDENDA <br />Required for: AR, AZ, CO, FL, GA, KS, LA, MI, MN, MS, NC, NJ, NY, OH, OK, & TX <br />• Print name, title, sign, date and attest when required <br />_ .NG ORDER <br />V. ACCEPTANCE CERTIFICATE PLEASE RETAIN UNTIL ALL EQUIPMENT HAS BEEN RECEIVED AND IS IN FULL WO <br />• Print name, title, sign and date <br />VI. 8038 OR GC — IRS FORM <br />enclosed form is a SAMPLE only. The act p y •••na .. --____ __._.__ <br />The actual 8038G or GC will be completed and sent to you for your signature after closing, with instructions to return the <br />original to us at your earliest convenience. This is being done in accordance with the Internal Revenue Service regulations and is a requirement of this financing. <br />VII. ADDITIONAL DOCUMENTATION THAT MUST BE SENT PRIOR TO FUNDING — (WHENAPPLICABLE) <br />ty _ D PUBLIC FINANCE LLC and/or Its Assigns as "lass payee" to <br />❑ Insurance Certificate for Proper List E LAGE LANDN PIS ._._._ <br />the address listed below. The certificate must also show the physical address where the equipment is located or the phrase "throughout juris- <br />diction" may be used. Must also list amount being financed. <br />❑ Insurance Certificate for Liability— List _DE LANDEN PUBLIC FINANCE LLC and/or Its Assigns as "additional insured." <br />Vendor invoice listing customer as both bill to and ship to party (to be provided by vendor) <br />Completed Billing Information form <br />❑ Advance payment check made payable to DE LAGE LANDEN PUBLIC FINANCE LLC <br />State sales tax exemption certificate <br />Escrow Agreement — Return signed Escrow Agreement Incumbency Certificate & Lessee W9 <br />F1 _ ......... .. <br />II ._ ._.. ......_.. <br />ALL DOCUMENTATION SHOULD BE RETURNED VIA FAX OR EMAIL AS FOLLOWS: <br />Attention: ..BA,ILEY WOODS <br />Email: BAivvoogS@clscO.COM 11 _........ ..e .... --------- <br />Lease Processing Center <br />1111 Old Eagle School Road <br />Wayne, PA 19087 <br />BAILEY WOODS <br />02018 All Rights Reserved. Primed in the LLS A. 88PFC6C8730 7/18 <br />