Best Used Trucks Credit Application
General Information
Person You Spoke With
Required
Date
First Name
Middle Name
Last Name
Suffix
Jr.
Sr.
Social Security Number / Tax ID
Business Name
DBA
LLC
INC
% Ownership
Date of Birth
Current Mailing Address
Street Address
City
State
Zip
County
Physical Address (if different from mailing address)
Street Address
City
State
Zip
County
Additional Information
Business Phone
Cell Phone
Fax
Email
OwnHome
Yes
No
If Yes, how many years?
Ever File Bankruptcy?
Yes
No
Ever Had Repossession?
Yes
No
Are You A Defendant In A Legal Action?
Yes
No
if you answered Yes to Bankruptcy, Repossession or Defendant In A Legal Action, please explain
Nearest Relative Not Living With You
Street Address
City
State
Zip
County
Phone
Relationship
Employment Information
First Time Operator?
Yes
No
Time with CDL - Years
Time with CDL - Months
Time as Owner / Operator - Years
Time as Owner / Operator - Months
Reason to Purchase
Additional Unit
Replacement Unit
Buyer to Drive?
Yes
No
Driver Info if Other Than Buyer - Name
Social Security #
CDL#
CDL State
Type of Goods / Commodities Hauled
Truck to be Titled in Personal or Business Name?
Where Will Truck Be Leased On?
Contact Person / Department at Your Lease
Phone Number for New or Current Lease
References
Current Employer / Haul Reference
Employer
Name
Phone
How Long There
Your Position
Driver
Owner Operator
Previous Employer / Haul Reference
Employer
Name
Phone
How Long There
Your Position
Driver
Owner Operator
Previous Employer / Haul Reference
Employer
Name
Phone
How Long There
Your Position
Driver
Owner Operator
Financial Information
Do You Have Your Own Authority?
Yes
No
Insurance Agent Name
Insurance Agent Phone
ICC Number
Number of Trucks Owned
Number of Trailers Owned
Would You Like a Physical Damage Insurance Quote?
Yes
No
Would You Like a Liability Insurance Quote?
Yes
No
Current Truck Financed With
Account #
Year
Make
Model
Finance Company Phone
Trade?
Yes
No
Primary Bank
Phone
Contact
Account Type
Other Bank
Phone
Contact
Account Type
Other Lender Information
Lender 1
Account #
Year
Make
Model
Phone
Trade?
Yes
No
Lender 2
Account #
Year
Make
Model
Phone
Trade?
Yes
No
Lender 3
Account #
Year
Make
Model
Phone
Trade?
Yes
No
Authorization To Conduct a Credit Investigation
By typing my name into the field below, the undersigned certifies that the information given above is true and complete and authorizes Best Used Trucks, its subsidiaries and their assigns or potential assigns, or any other lender that this application is submitted to, to investigate the above information and the undersigned’s accounts and credit experience. Best Used Trucks credit experience and account information on the undersigned. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on the undersigned by Best Used Trucks, or any person requested to release such information to Best Used Trucks. The undersigned has read and understood the Privacy Policy and the Disclaimer on the website this form was downloaded from.
Signature
Required
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