•tcetr- i\frta iLL / 0 02/ TYPE OF ORGANIZATION (PLEASE CHECK): LI-C. DATE BUSINE S ESTABLISHED: FEDERAL EIN NUMBER: OCORPORATION nPARTNERSHIP SPROCRIETORSHIP NAMEgF CONTACT PgON: )- C.7Cat- it OWNER(S)/OFFICER(S)/PARTNER(S) WILL BE REQUIRED TO PERSONALLY GUARANTEE ACCOUNT(S). GUARANTOR(S) MUST COMPLET