Credit Application

Vehicle Purchase Credit Application
833 W Chicago Ave, Suite 202, Chicago, IL 60642 Phone: 718-708-1515 . Fax: 312.377.2498
Legal Company Name
Trade Style (DBA)
Year Established
Federal Tax ID Number
Address

Address

Street Address Line 2

CityState

(Zip CodeCounty
Person to Contact
Business Telephone .
Business Fax #
E Mail Address
example@example.com
Entity Type (check one box)
Coaches
Mid Size Buses
Shuttles/Vans
School Buses
Limo's
Other
List Affiliated Companies or Subsidiaries
PARTNERS, GUARANTORS AND PRINCIPALS
1. Principal Owner
% Ownership
Title
Date of Birth

MonthDayYear
Date
Social Security Number
Address

Address

Street Address Line 2

CityState

Zip Code
2. Principal Owner
% Ownership
Title
Social Security Number
Address

Address

Street Address Line 2

CityState

Zip Code
Quantity
Year, Manufacturer, Model
$ Requested
Terms
Telephone
Insurance Company Name (Liability & Physical Damage)
Agent
CREDIT REFERENCES
Bank Name
Telephone
Account Number(s)
Contact
Bank Name
Telephone
Account Number(s)
Contact
Finance Company Name
Account Number(s)
Contact
Telephone
Finance Company Name
Account Number(s)
Contact
Telephone
Finance Company Name
Account Number(s)
Contact
Telephone
COMPANY Years in Business and Type of Business
REASON FOR PURCHASE
I certify that the information stated in this application is true and correct. I understand that you will retain this application whether or not is approved. You and/or entities to whom you refer this application are authorized to check my credit and employment history, obtain insurance information and to answer questions about your credit experience with me. I authorize you and/or entities to whom you refer this application to contact my creditors and authorize any creditor so contacted to release to you such credit information as you may request.
Signature

Clear
Title
Date

MonthDayYear
Date
Signature Notice: To help the government fight the funding of terrorism and money loundering activities, U.S. Federal law requires financial institutions toobtain, verify and record information that identifies each person (individuals or businesses) who opens en account. What this means for you: When you open an account or add any additional service, we will ask you for your name, address, and taxpayer identification number that will allow us to identify you. We may also ask to see other identifying documents.
Co Signature

Clear
Title
Date

MonthDayYear
Date
Last 3 months Business Bank Statement Summary Pages
Estimated Credit Score
Years in Business
Should be Empty:

Vehicle Purchase Credit Application

PARTNERS, GUARANTORS AND PRINCIPALS

CREDIT REFERENCES