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Credit Application

I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience.

YOUR CREDIT APPLICATION IS GOING THROUGH A SECURE WEBSITE AND YOUR IDENTITY IS SAFE.

First Name*

Middle Name

Last Name*

Phone Number*

Work Phone Number

Email Address*

Social Security Number*

Drivers License Number*

Drivers License Expiration Date*

Date Of Birth*

US Citizen*

Unit Information

Vehicle of Interest*

Applicant Physical Address

Physical Address*

City*

State*

Zip Code*

Country*

Applicant Housing Information

Do you rent, own your home, or other?*

Rent / Mortgage Monthly Amount?*

Mortgage Balance*

Time At Current Residence*

Truck And Trailer Ownership Information

HAVE YOU FINANCED ANY TRUCKS OR TRAILERS IN THE PAST?*

LEGAL BUSINESS NAME*

YEARS OF COMMERCIAL DRIVING EXPERIENCE*

WHAT DO YOU HAUL?*

Applicant Employer Information

Employer*

Employer Name*

Employer Address*

Employer City*

Employer State*

Employer Zip

Employer Phone Number*

Salary (Annually Gross)*

Time at Employer*

DISCLAIMER: I/WE HEREBY AUTHORIZE YOU AND/OR YOUR AGENTS OR FINANCIAL INSTITUTIONS WHOM YOU DEEM NECESSARY TO INVESTIGATE MY/OUR CREDIT WORTHINESS AND WILL PROVIDE FINANCIAL STATEMENT AND, TAX RETURNS AS YOU MAY DEEM NECESSARY. I/WE WARRANT AND SWEAR THAT THE INFORMATION SUBMITTED HEREIN IS TRUE AND CORRECT AND HEREBY AUTHORIZE THE REFERENCES CONTAINED HEREIN RELEASE ANY NECESSARY INFORMATION. I/WE FURTHER AUTHORIZE ANY BANK LISTED TO RELEASE CREDIT RATING INFORMATION, INCLUDING ACCOUNT BALANCES, DATE ACCOUNT OPENED AND STATUS FOR ALL CHECKING, SAVINGS AND LOAN ACCOUNTS THAT I/WE HOLD. THIS NOTICE AND SUBMISSION WARRANT MY AUTHORIZATION TO PERFORM A CREDIT CHECK, AND MOVE FORWARD WITH THE INTENT TO PROCESS CREDIT WORTHINESS FOR A VEHICLE TO BE PURCHASED THROUGH PRESTIGE TRUCK SALES, INC,*

References

Name*

Phone*

Name

Phone

Name

Phone

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Financing Page

Credit Application

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