Dave Syverson Truck Centers Credit Application
Credit Application
Did you talk to a salesman?
NO, I DID NOT TALK TO A SALESMAN
AARON SMITH
ANDREW PETERSON
DAN BELLRICHARD
JEFF RYAN
JORDAN BOHONEK
KELLY NELSON
MIKE SCHMITZ
WAYNE HENDRICKSON
Required
First Name
Required
Last Name
Required
Address
Required
City
Required
State
Required
Zip
Required
County
Required
Phone Number
Email
Required
Amount To Finance
Required
Down Type
TRADE-IN
CASH
Required
Down $
Required
Credit Level
POOR
FAIR
AVERAGE
ABOVE AVERAGE
EXCELLENT
Required
Social Security #
Required
Type Of Credit
BUSINESS
PERSONAL
AVERAGE
ABOVE AVERAGE
EXCELLENT
Required
Driver's License
Required
Date Of Birth
Required
Are You A Homeowner
YES
NO
Required
Have you ever financed a commercial asset?
YES
NO
Required
What commercial lender have you financed with in the past?
Who are you or will you be leased to?
Leasing Company
Leasing Company Phone
Do you own a truck?
YES
NO
Required
Vehicle Year
Vehicle Make
Business Name (if applicable)
FED ID #
Dot #
Required
Who do you haul for? Contact name and number
Required
Message to Creditor and/or Trade-in Details (if applicable)
Authorization To Conduct a Credit Investigation
Please Note: This is a prelimnary application to see if you are a possible candidate for financing. In the event that you are found eligible to apply for financing we will require additional information.
Fair Credit Reporting Act disclosure: This application for credit can be submitted to various financial institutions.
Acknowledgement: By submitting this application I / We hereby authorize any credit bureau or any other investigative agency to investigate the references herein listed or statements or other data obtained from me / us or from any other person pertaining to my / our credit and financial responsibility.
By submitting this application I / We represent, warrant and affirm that all of the statements made by me / us in this application are true and correct.
eSignature: Some credit/finance companies require eSignature. Please type your Full Name below to be considered for financing.
Signature
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