Equipment Lease Agreement
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2For Commission Use Only
EQUIPMENT LEASE AGREEMENT
WAC 480-15-590 Vehicle Leasing Procedure
WAC 480-15-600 Responsibilities When Entering into a Lease Agreement
Part 1 – Company Leasing the Vehicle / Lessee
Company Name/Address:
HG Permit Number:
Part 2 – Company Owning the Vehicle / Lessor
Company Name/Address:
Part 3 – Vehicle Being Leased
Vehicle Make and Year:
Serial Number:
License Number:
Part 4 – Period of Lease
Lease will begin on:
Lease will end on:
Date:
Time:
Date:
OR
□ (check box)
Until Cancelled
Part 5 – Compensation (see instructions on page 2)
Compensation for Vehicle:
Compensation for Driver:
Part 6 – Lessee/Lessor Expense Agreement
Item
Lessee
Lessor
Item
Lessee
Lessor
Vehicle Licensing Fees
Equipment Rental Taxes
Toil and Ferry Charges
Fuel and Oil
Vehicle Loan Payments
Vehicle Maintenance
Parts and Tires
Major Vehicle Repairs
Insurance, Comprehensive
Minor Vehicle Repairs
Insurance, Theft
Other (explain):
Insurance, Fire
Other (explain):
Part 7 – Certification by Leasing Parties
The parties signing this lease certify that they understand all of the provisions of WAC 480-15-590 and
WAC 480-15-600, and agree to comply with those WAC rules.
Lessee Signature
Date
Lessor Signature
Date
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