Credit Application
Name
*
First Name
Middle Name
Last Name
Business Name
*
if applicable
Date of Birth
*
-
Month
-
Day
Year
Date
Social Security Number
*
XXX-XX-XXXX
EIN/Tax ID
if applicable
Ownership %
LLC was created on:
-
Month
-
Day
Year
if applicable
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Residence
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived at the above address?
*
0-1 Year
1-2 Years
3-4 Years
5+ Years
Home Ownership/Rent.
*
Own
Rent
Living with parents or relative
Experience
Are you a first time buyer?
*
Yes
No
Have you ever filed for Bankruptcy or had a repossession?
*
Yes
No
Do you have any accounts in collections or severely past due?
*
Yes
No
What type of equipment are you applying for?
*
what are you wanting to buy
How much do you have for a down payment?
*
CDL experience in years/months
*
If Owner Operator experience, how many years/months?
*
Employment Information
Present Employer/ Business Name:
*
Phone Number (Employer/Business)
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years/months with the Company
*
Gross monthly income
*
I hereby authorize, consent and instruct Wheelhouse Lease and Finance LLC to obtain and review my credit report. This report will be obtained from a credit reporting bureau chosen by Wheelhouse. I agree that the credit report will be used for the purpose of reviewing my credit for readiness for lease or purchase of equipment. A copy of this authorization shall be as valid as the original.
*
Digital Signature required
Data Privacy Act and Consent Form. I/We likewise give my/our consent to Dealers, Wheelhouse Lease and Finance LLC, Brokers and Banks to share and disclose the personal or sensitive personal information.
*
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission.
*
YES
I hereby accept the treatment of my personal data by Wheelhouse for market analysis including verifying customer satisfaction, market survey, and polls delivered through automated systems such as email, SMS or newletters.
YES
Send Application Now
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