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Home
Services
Extended Warranty
Electronic Diagnostic
Truck Parking
Laser Cleaning
About Us
Inventory
Mixer Trucks
Contact Us
Truck Loan Application
Register Now
Truck Loan Application
BUSINESS INFORMATION
Business Legal Name
Time In Business Under Current Ownership
Federal ID Number
Business Address
City/Country
State
Zip
Business Phone Number
# of Trucks
# of Trailers
# of Employees
Repo:
Yes
No
Bankruptcy:
Yes
No
Type of Ownership:
Partnership
Proprietorship
LLC
Corporation
State if Incorporation
Email
Type of Business
Business Fax Number
PRINCIPAL INFORMATION
(100% Ownership disclosure required. principals listed will be required to guaranty lease)
Full Name
Date of Birth
Title
% Ownership
Social Security Number
Present Address
City/Country
State
Zip
Home Phone Number
Years Driving Exp
Years CDL
Years as Owner/Operator
Married
Homeowner
Other Owner/Guarantor
Date of Birth
Title
% Ownership
Social Security Number
Address
City/Country
State
Zip
Home Phone Number
Years Driving Exp
Years CDL
Years as Owner/Operator
Married
Homeowner
BANK/CHECKING & SAVINGS
(If check acct. less than 2 years; provide previous acct. number/bank)
Bank
Phone
Fax
Officer
Acct#
How Long
CK
SV
CD
Previous Details
Bank
Phone
Fax
Officer
Acct#
How Long
CK
SV
CD
EQUIPMENT LOANS/LEASES
(Open or Paid)
Firm Name
Phone
Acct#
High Credit
How Long
HAULING REFRENCES
(Last 3 Years)
Firm Name
Phone
Fax
Acct#
High Credit
How Long
EQUIPMENT INFORMATION
Equipment Description
Condition
New
Used
Signature
Date
Down payment
Upload PDF Here
Upload PDF Here
Upload PDF Here
Upload PDF Here
The undersigned individual who is either a principal, personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents and authorizes us or our designee the use of a consumer credit report on the undersigned, from time to time as may be needed, as well as the release of any and all information requested for the purpose of granting business credit. A Photocopy of this release will act as an original
SUBMIT FORM
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