Truck Credit Application

COMMERCIAL TRUCK FINANCING APPLICATION

Please fill out the fields below. The asterisk (*) indicates a required field.

Business Type*
- Corporation
- Partnership
- LLC
- DBA
- Owner Operator
Business
Exact Legal Name of Business*
Federal Tax ID#*
Business Phone*
- Business
- Mobile
Address*
Street Address City State ZIP Code
Years In Business*
Date of incorporation*
Month
Day
Year
State of incorporation*
Owner Operator/Business Guarantor
Name*
First Middle Last
Birthdate*
Social Security #*
Phone*
Title*
% Ownership*
Email*
Driver's License
Max. file size: 30 MB.
State of The License
Address*
Street Address City State ZIP Code
Monthly Payment*
- Own
- Rent
Resided at address 5 or more years?*
- Yes
- No
# Years*
# Months*
Previous Address
Street Address City State ZIP Code
Co-Borrower or 2nd Business Guarantor?*
- Yes
- No
Co-Borrower or 2nd Business Guarantor
Name*
First Middle Last
Birthdate*
Social Security #*
Phone*
Title*
% Ownership*
Email*
Address*
Street Address City State ZIP Code
Monthly Payment*
- Own
- Rent
Resided at address 5 or more years?*
- Yes
- No
Previous Address
Street Address City State ZIP Code
Equipment and Experience Info
Stock Number(s) of Truck(s) Needing Financing
Truck Type*
- New
- Used
Salesperson(s) You're Working With
Is this additional equipment?*
- Yes
- No
Explanation:
Current Fleet Size
# Tractors
# Trailers
# Trailers
# Trucks
# Trucks
Will this truck be driven more than 51% in California?*
- Yes
- No
Purchaser to drive truck?*
- Yes
- No
Driver Experience*
YRS
MOS
MOS
Owner/Operator Experience*
YRS
MOS
MOS
Do you have a trade in?*
- Yes
- No
Down payment amount*
What terms are you looking for?
Lease or purchase?*
- Lease
- Purchase
Product(s) to be hauled*
Comments?
Credit History
Have you ever filed bankruptcy?*
- Yes
- No
Explanation:
Are you a defendant in any legal action?*
- Yes
- No
Explanation:*
Have you ever had any item repossessed?*
- Yes
- No
Explanation:*
References
*
Haul Reference Contact Name Phone Fax Email Account #
Equipment/Loan Reference Contact Name Phone Fax Email Account #
Credit Application Agreement
The undersigned Customer ("Customer") hereby makes application for the extension of commercial credit to finance the purchase of certain motor vehicles from Johnson Truck Center. Customer authorizes Johnson Truck Center to forward this application, together with any supplemental materials submitted by Customer, to others for consideration of credit extension. Johnson Truck Center may receive from and disclose to others, including credit reporting agencies, information about the applicant's accounts and credit experience. Applicant authorizes such others to release to Johnson Truck Center credit experience and account information regarding applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on applicant made by Johnson Truck Center or any person requested to release such information to Johnson Truck Center. Customer represents and warrants that the information disclosed herein, along with any and all supplemental information, including financial statements, tax returns, and balance sheets, are accurate and complete. Customer will provide immediate notice in writing to Johnson Truck Center if and when any material changes occur in this information. --- Customer authorizes release of all banking and credit information, both business and personal requested by Johnson Corporation: (Johnson & Towers Inc, Johnson Truck Center, LLC, Dovell & Williams). This form may be reproduced or photocopied and a fax copy shall be effective consent as the original which i have signed. Terms: Net-30 days unless otherwise stated. We reserve the right to charge 1 ½% per month (18% per annum) interest on all past-due accounts. In the event that it becomes necessary to place this account with an attorney for collection, undersigned agrees to be liable for said cost, including court costs and attorney fees.
- I agree to Johnson Truck Center Credit Application Agreement
Signature*

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COMMERCIAL TRUCK FINANCING APPLICATION

Business

Owner Operator/Business Guarantor

Co-Borrower or 2nd Business Guarantor

Equipment and Experience Info

Credit History

References

Credit Application Agreement

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LOCATIONS

Haul Reference	Contact Name	Phone	Fax	Email	Account #

Equipment/Loan Reference	Contact Name	Phone	Fax	Email	Account #