Finance Application

TYPE OF FINANCING REQUESTED

Type of Equipment To Be Financed *

APPLICANT INFORMATION

Title *
Legal Name *
Full Name *
Doing Business As or Also Known As *
Home Address *
City *
State *
Zip *
Home Phone
Mobile Phone *
Email *
Social Security Number *
Driver's License Number *
Driver's License State *
Date of Birth *

BUSINESS INFORMATION

Street Address *
Po Box
City State Zip *
Business Phone *
Contact Name *
Contact Type *
Contact Phone *
Contact Email *
Legal Structure of the Business *
Business Established In The Year *
Business Established In the State of *
Taxpayer I.D. # *
MC #
Tax Exempt? If Yes, You Will Be Required to Provide Necessary Forms/ Documents *

CURRENT TRUCKS

#Owned
#Leased

CURRENT TRAILERS

#Owned
#Leased

PREVIOUSLY FILED FOR BANKRUPTCY

Have You Previously Filed For Bankruptcy? *

CREDIT REFERENCES: MUST INCLUDE VENDORS USED BY YOUR COMPANY

Name *
Loan Number *
Phone *
Contact Person *

Name
Loan Number
Phone
Contact Person

HAUL REFERENCES

Name *
Account Number *
Phone *
Contact Person *

Name
Account Number
Phone
Contact Person

MAIN BANKING INFORMATION

Name *
Account Number

ATTACH LAST 3 MONTHS OF BANK STATEMENTS - FRONT PAGE

INSURANCE INFORMATION

Name *

Phone *

Equipment will not be released without a valid insurance certificate on file. ACH and credit card enrollment forms may be required upon credit approval.

SIGNATURE

I hereby authorize Infinity Truck Sales, Inc. or its designees to obtain a report from any credit reporting agency or from any other source(s) pertaining to the company’s credit history. I also authorize Infinity Truck Sales, Inc. or its designees to obtain a personal credit report from any reporting agency or any other source pertaining to personal credit history. The undersigned individual provides written instructions to Infinity Truck Sales, Inc. or its designee (and any assignee or potential assignee thereof) authorizing review of the personal credit profiles of any applicant(s) and/or guarantor(s) from a national credit bureau. I also authorize drivers and employees to sign for the company when picking up trailers, parts, or repairs, and I authorize that Infinity Truck Sales, Inc. can keep copies of my company information on file for use at a later date. Customer is responsible for any attorney’s fees and court costs in case of suit. I further authorize Infinity Truck Sales, Inc. to use the EFS system ACH withdrawal on any check issued to Infinity Truck Sales, Inc. to process any payments. I agree to the above terms and attest the information to be true and correct, to the best of my knowledge.

Signed *

Printed Name *

Title *

Date *

UNCONDITIONAL GUARANTY OF PAYMENT AND PERFORMANCE THE UNDERSIGNED(S) (“GUARANTOR”), as consideration for the present of future extension of credit by INFINITY TRUCK SALES, INC. to: *

(“CUSTOMER”), does hereby unconditionally guarantee the prompt payment and performance of all obligations owed by CUSTOMER to INFINITY TRUCK SALES, INC.

Dated *

If you have previously spoken to a sales representative, please let us know: