Search Results

Business Name*

Business Phone*

Business Address*

City*

State*

Zip*

Year Business Opened*

How Many Officers*

Type of Business*

Name*

Address*

City*

State*

Zip*

Cell Number*

Email Address*

Home owner?*
YesNo

How long at current Address (years)*

Monthly Rent/Mortgage*
$

If applying as Business what percent of ownership*

Have any applicants ever filled bankruptcy*
YesNo

If Yes to bankruptcy, explain

Have any applicants had anything repossessed*
YesNo

If Yes to repossession, explain

Have any applicants had anything repossessed*
YesNo

If Yes to a defendant in legal action, explain

# of Trucks owned*

# of Trailers owned*

# of Trucks purchased via Financing*

Total years with CDL*

Total years as an owner operator*

Do you have your own authority?
YesNo

If yes please provide MC number

Is this your*

Routes*

Hauling*

Is the purchaser driving this truck?*
YesNo

If no provide drivers name and address

Employer #1*

Employer #2

Employer #3

Haul Reference #1*

Haul Reference #2

Expected weekly gross revenue*

Expected weekly miles*

Expected $ per mile*

Address where truck will be parked when not in use*

I Confirm*

Date Submitted*

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.

Applicant Signature*

Credit Application

Business Information

Personal Information

Commercial Truck and CDL Experience

Truck Usage

Employment History for last 5 years

If You Have Your Own Authority Please Provide Haul References