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Your FPF Contact:
Daniel Lavrentyev
(425) 487-2680

Secure Online Finance Application

Obligor Information
Legal Name: Federal Tax ID#:
Street Address: Date entity established:
City, State, Zip:  
Primary Contact: Title:
Telephone: Fax:
Will Obligor issue more than $10,000,000 in tax-exempt debt in this calendar year?:
Self-insured property/liability?:
Equipment Information
Equipment Description: Equipment Cost:
Term Requested (Years):  

Additional comments:
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