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United Equipment Funding, Inc. Credit Application

Personal and Business Information

Truck Usage

Haul Reference (Contracts or revenue sources)

Previous Truck And Trailer Purchases

Bank And Trade References

Supplier Information

Authorization To Conduct a Credit Investigation

The undersigned hereby authorizes Untied Equipment Funding, Inc. to make inquiry, request and receive any information regarding my credit history, reputation and all information that is deemed necessary to make a fair decision regarding my request for credit. Undersigned also agrees that the information given can be shared with our underwriters and all information provided in this documents accurate and the financial information is a true, reliable statement regarding my credit stature as of the date of completion of this document. This authorization shall be effective from the date upon which application is completed and until full payment of borrowing, if granted, is received. The undersigned individual (s), recognize that his or her individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to an and authorizes the above named business credit provider and an assigned and lender or funding service that may be utilized toobtain and use a consumer report on an undersigned, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwisehave under the Fair Credit Reporting Act in the absence of this continuing consent. I acknowledge receipt of the attached Equal Credit Opportunity Act notice. Any form of electronic signature affixed to this application by the applicant shall have the same force and effect as if the signature were an original.
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