Lease Application

Many organizations and companies throughout the United States lease their signs
rather than purchase them. You simply set up payments for twenty four or thirty
six months and at the end of that time, you own your sign. This affords you the
opportunity to invest in a sign that might not be otherwise.

Full legal name of church, institution or business:

DBA ( If applicable ):

Street address:

City: State: Zip Code: County:

Telephone: Fax: Email:

Address where sign will be installed:

Number of years in business/service: Ownership: CorporationSole Proprietorship Partnership Federal Tax ID #:

_____________________________________________________________________________________________________________

Owner/Principal Information

Name: Title:

Home Address: Social Security Number:

______________________________________________________________________________________________________________

Bank/Insurance Information

Bank Name: Contact: Account number:

Telephone number:

The preceding information is submitted for the purpose of obtaining credit from Cornerstone Companies LLC for the obtaining of a new
sign. The undersigned warrants that the information contained in this application and any additional information submitted herewith,
is complete and true. I hereby authorize my bank or banks and other creditors to release credit information concerning my checking
and borrowing accounts to Cornerstone Companies LLC and/or its affiliates or assignee.

Signature__________________________________ Title _____________________________ Date ____________________

Printed name_________________________________________

Please either submit, or print this form and fax or mail to (704) 553-0531.