Lafferty Equipment Manufacturing

Credit Application

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BUSINESS INFORMATION

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OWNER INFORMATION

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BANK REFERENCE

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AGREEMENT

All statements made herein are true and accurate to the best of our knowledge. We authorize the above company to make any and all inquiries necessary for action on this credit application, including inquiries to the above referenced financial institution. We hereby indemnify the above company and its agents from any liability resulting from their credit survey.

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Lafferty Equipment Manufacturing, Inc.
5614 Oak Grove Road
North Little Rock, AR 72118
TFN: 1-800-999-2820