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BSFS Equipment Leasing, <br /> A Component of General Electric Capital Corporation <br /> Lessee : Indian River County <br /> Agreement No ./Schedule No . : <br /> Federal Tax ID Number. 59 - 6000674 7297850 -001 <br /> ( NOTE : FEDERAL TAX ID NUMBER MUST BE PROVIDED WITH SIGNED DOCUMENTS ) <br /> If your taxing jurisdiction requires Lessor to pay sales tax up front, WE WILL ADD THIS <br /> AMOUNT TO YOUR PRICE (as set forth in the Lease) unless you direct us to bill you for the <br /> sales tax by checking below : <br /> ❑ Invoice Lessee for upfront sales tax : do not add to Price . <br /> Please note : If you have elected a $ 1 Purchase Option , then you are responsible for <br /> promptly reporting and paying personal property taxes . <br /> To insure we bill you correctly , please review the questions below . If the information on your lease <br /> documents is correct, you do not need to complete the blanks , only check the Yes box next to that section . <br /> If the information on the documents is incorrect, please insert the correct information below. <br /> Information on documentation correct? Billing Address : <br /> ❑ Yes ❑ No <br /> Billing Contact Name : <br /> Phone Number: <br /> Information on documentation correct? System Installation Address : <br /> ❑ Yes ❑ No <br /> City : State : <br /> Zip : County : <br /> If applicable , enclose a copy of Lessee ' s Purchase Order. <br /> Purchase Order Number: <br /> Start Date : - Expiration Date : <br /> Please indicate your sales tax status below . <br /> The system is exempt from sales tax. IZI ❑ No <br /> Yes <br /> If the above answer is no , please sign below and return with the lease documents . <br /> CADocuments and Settings\shadir\Desktop\Indian River SLG $bo .doc SLG 11 /1 /99 <br />