Credit Application for vehicle purchase
Who is your Bentley contact?
Please Select
Anna McElroy
Glen Fair
Anna McElroy
Brian Costigan
Dan Collett
Frank Halper
Joel Nudelman
Rob DeFillippi
Other
Company Legal Name
*
Federal Tax ID
*
Time in business (if less than 2 years, Personal Guarantor is required).
*
Annual Revenue
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
*
Please enter a valid phone number.
Company Email
*
example@example.com
Address Where Your Equipment Is Parked
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Guarantor 1
Legal Name
First Name
Last Name
SS#
Ownership Percentage
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guarantor Mobile Phone Number
Please enter a valid phone number.
Guarantor Email
example@example.com
I've been employed with this company for
blanks
months. My annual income from this is $
blank
.
Any additional work history with income as needed to reflect 2 years.
Application Statement
The undersigned (individually or collectively, the “Signer”) understands and agrees as follows. This Application is to finance a business purchase or lease of one or more vehicles. The Dealer and any creditor to which Dealer submits this Application will rely on the information and documents furnished in connection with this Application in making their respective credit decisions and such information and documents are complete, true and correct and accurately represent the financial condition of the Signer. The Signer has no knowledge of any liabilities, contingent or otherwise, not reflected in this Application or the information or documents provided in connection with this Application. Since the date of the mostr ecent financial statement provided in connection with this Application, there have been no material adverse changes in the financial condition of the Applicant business. The Signer authorizes Dealer and any creditor to which Dealer submits this Application, together with any affiliates, agents, service providers or assignees of the Dealer or creditor (individually or collectively, the “Creditor”) as follows. Creditor may investigate the Signer’s credit and employment history, obtain credit reports on the Signer and contact the Signer’s references in connection with this Application. If an account is opened in response to this Application, Creditor may obtain credit reports on the Signer for the review, update, extension or collection of the account or other legitimate business purpose related to the account; contact the Signer’s references and other creditors in connection with the collection of the account including the location of any vehicle financed or leased by Creditor; and release information about Creditor’s credit experience with the Signer as permitted by law. Creditor may call the Signer, leave the Signer voice, prerecorded or artificial voice messages or send the Signer a text, email or other electronic message for any purpose related to the Signer’s accounts with Creditor, Creditor’s products and services, or surveys or research (each a “Communication”).Creditor may include Signer’s personal information in a Communication and conduct a Communication using an automated dialing machine and any contact information Creditor has for the Signer, including a cell phone number. Creditor will not charge the Signer for a Communication but the Signer’s service provider may. The Signer understands and agrees, Creditor may always communicate with the Signer in any manner permissible by law that does not require the Signer’s prior consent.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Guarantor Signature
Submit
Should be Empty: