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* Type of Equipment You Sell:
(Equipment Description)
   
* Equipment Cost Range:    
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* Annual Sales of Capital Equipment:      
* Percentage of Sales Financed:   %        
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Equipment financing is administered by Professional Solutions Financial Services, a division of NCMIC Finance Corporation.
Equipment financing offered by NCMIC Finance Corporation is subject to credit approval.
NCMIC and the equipment vendor are separate companies, are not agents of or affiliated with one another,
and have no authority to bind one another to financial or other contractual obligations.
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