Homer Simpson

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Sales Rep
Office: 708-631-3191
Mobile: 708-631-3191
Fax: 708-631-3191


Credit Application

    * Indicates a required field

    Business Information

    Personal Information






    Commercial Truck and CDL Experience

    Do you have your own authority?

    Truck Usage


    Employment History for last 5 years

    (most recent first)

    Include: Name and address of company, phone number, position, & how long.

    If You Have Your Own Authority Please Provide Haul References

    Include: Name and address of company / customer, phone number, & how long.

    I confirm the information I am submitting is correct and agree to submit this information, so a representative from I-294 Truck Sales may follow up with me to complete the credit application process.

    The undersigned acknowledge(s) the statements on this application are true, correct, and accurate to the best of my (our) knowledge, and the information contained herein may be used by I-294 Used Truck Sales Inc or its designee(s), assignee(s) or any lending source to whom this application is submitted (“You”) to make credit decisions. The applicant, owners(s), and guarantor (if any) authorize(s) You to review or obtain any consumer and/or business information from banks, credit unions, credit reporting services, or other sources that provide credit reports, account history information, credit, and employment history or similar information and authorizes them to furnish such information; such authorization shall extend to update renew, or credit for reviewing and collecting the account and other credit requests. Additionally, this authorization permits You to share and exchange information and to request, obtain and review bank, financial or other information from past, present, or potential creditors. The undersigned acknowledge(s) that this signed application form is an application for credit only, and the final terms of the loan /rental agreement will be based on the documents themselves. No commitment exists until the Applicant/Joint Applicant(s) receives the same in writing.