Taylor Equipment Sales & Powersports Formerly Peru Farm Center
Credit Inquiry Form
NOTE: If you would like a joint application you will add the 2nd borrower's information at the bottom of this form.
Have you been working with a Sales Representative?
Yes, Jordon Keleher
Yes, Kolby Keysor
Yes, Dylan Seymour
Yes, Nick Avery
No, I have not worked with anyone
Not sure
Name
*
First Name
Middle Name
Last Name
Suffix
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How Long have you lived at this address?
*
Housing Status
*
Own/Buying
Rent Free
Rent
Other
Monthly housing / rent payment $
*
Applicant Inforamtion
*
Consumer/personal/household use
Business/commercial use
Individual or Business Type
Corporation
LLC
LLP
Partnership
Municipality
Birth Date
*
Social Security Number
*
Are you tax-exempt? (Note you will be required to supply the correct form before sale is complete)
*
Yes
No
I don't know
Personal Reference Name
*
First Name
Last Name
Personal Reference Phone Number
*
Please enter a valid phone number.
Personal Reference Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment Information
Current Employer (If self employed, business name)
*
Position/Title
*
Type of Business
*
Business Phone Number
*
Please enter a valid phone number.
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have worked for this employer?
*
Gross Monthly Income From All Sources
*
Equipment
What piece of equipment are you interested in?
*
Do you have a trade-in?
*
Yes
No
Maybe
Year of Trade-In
Make & Model
Hours
Condition
Will you be providing a down payment, if so how much?
Signature
*
Add Joint Application Information Here
Would you like a joint application?
Yes
No
Joint Application
First Name
Middle Name
Last Name
Suffix
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How Long have you lived at this address?
Housing Status
Own/Buying
Rent Free
Rent
Other
Monthly housing / rent payment $
Social Security Number
Date of Birth
Employment Information
Current Employer (If self employed, business name)
Position/Title?
Type of Business
Business Phone Number
Please enter a valid phone number.
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you worked for this employer?
Gross Monthly Income From All Sources
Signature
Email
example@example.com
Continue
Continue
Please add a photo of the driver's license for all applicants.
*
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