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Full name
Date of Birth
Phone
Email
Address
State/Province of Residence
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
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AL
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ND
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OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
City
Postal/Zip Code
How many years at current address?
Social Security/SIN
Are you a home owner?
Yes
No
Do you want to add a co-applicant?
No
Yes - Business Partner
Yes - Spouse
Yes - Co Signer
Yes - CDL Driver
Have you filed for bankruptcy in the past 7 years?
No
Yes
Choose what best describes what you are trying to do?
CDL Driver - First Time Buyer
Owner-Operator - Replace Unit
Owner - Operator - Finance a Trailer
Owner - Operator - Finance 2nd Unit
Fleet Owner - 2+ trucks, Finance Additional Unit
No CDL - Investor
Need Working Capital
CDL Experience
Under 1 Year
1-2 Years
2 Years
3+ Years
5+ Years
Non CDL - Investor
Non CDL - Fleet Owner
Owner Operator Experience (past 3 years)
First Time Buyer
Under 2 Years
Over 2 Years
3+ Years
Fleet Owner
Do you own a company?
Yes
No
Hauling Reference (Company Name)
Contact Name
Contact Phone
Do you plan to continue hauling for them with the new equipment?
Yes
No
Price Range
$25,000
$30.000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
$65,000
$70,000
$80,000
$90,000
$100,000
$125,000
$150,000
Other
Max Down Payment Available (%)
0%
5%
10%
15%
20%
25%
30%
35%
40%
Year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Other
Make
Freightliner
Peterbilt
Kenworth
Volvo
International
Mack
Other
Model
Dealership Name and Contact
Phone
Attach Weblink to Equipment
Do you Want a Trucking Insurance Quote?
Yes
No
(Optional) Upload 3 Month Bank Statements
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You are authorizing us to check your credit record.
Electronic Signature - By Typing your name here you are agreeing to the terms and conditions of this credit application.
How did you hear about us?
Bing
Dealer Referral
Email Marketing
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Organic Website
Web Research
Word of Mouth
Other
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