Clone of Roy's Trucks Application

Roy's Trucks Application

Application to apply for a lease purchase or third party financing
Personal Information
Full Name*

First NameLast Name
Today's Date
Date of Birth*
MM/DD/YYYY
Social Security Number*
XXX-XX-XXXX
Driver's License Number*
Email Address*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number if applicable
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Time at Current Address*
Years
Months
Previous Address (Only fill out if you have moved within the last 5 years)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Time at Previous Address
Years
Months
Employment Information
Your Company Name*
Time in Business*
Do you have your own authority*
If yes, how long have you had your own authority?
Do you have a CDL*
If yes, how long have you had your CDL?
Company Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Employer Name*
If you are self employed please use your Company
How long have you worked here?
Monthly Income*
Do you plan on staying here?*
Current Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Future Employer Name (If Applicable)
Future Employer Phone Number
Please enter a valid phone number.
Future Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Finance and Truck Information
Do you own any power units?*
If yes, how many?
Please provide type of power unit i.e. Tractor, Box Truck, etc...
What do you plan on using this equipment for?*
Who will be driving this equipment?*
Where will this equipment run?*
What stock number(s) are you interested in?*
How much do you have to put down?*
Desired Monthly Payment*
How did you hear about Roy's Trucks? (Google, Facebook, eBay, Truckpaper, etc..)*
By signing this application form, the undersigned applicant (Applicant) hereby gives Roy's Trucks Leasing, LLC and Roy's Trucks & Equipment, Inc. the right to obtain a consumer credit report and a commercial credit report regarding the undersigned for this application, and acknowledges that a credit check will be performed based on the information provided above. The information provided in this application form may be used to assess lease or financing options for Applicant, including, without limitation, a potential lease which may or may not contain a possible option to purchase. By submitting this Application, Applicant agrees that Roy's Trucks Leasing, LLC and Roy's Trucks & Equipment, Inc. may use the information submitted as well as conducting its own credit checks for purposes of (a) assessing whether Roy's Trucks Leasing, LLC and Roy's Trucks & Equipment, Inc. is willing to enter into a lease or other transaction; and (b) provision of the information to third-party lenders for use of the information in connection with a submission of Applicant's information to those lenders concerning other financing options.

The undersigned authorizes Roy's Trucks Leasing, LLC and Roy's Trucks & Equipment, Inc. to make inquiries that they deem reasonably necessary to verify the accuracy of the statements made by me and to determine my creditworthiness.

I agree to pay the required sums and I agree to be bound by the lease or loan agreement if my application is accepted. I understand that Roy's Trucks Leasing, LLC and Roy's Trucks & Equipment, Inc. are relying upon this application in making a decision as to a potential transaction. I represent and warrant that the statements I make in this application are true, correct and complete.
Signature

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Roy's Trucks Application

Personal Information

Employment Information

Finance and Truck Information