Credit Application-Aladdin

Credit Application
First Financial Rep
BUSINESS INFORMATION
Business Name
Business Phone
Format: (000) 000-0000.
Email
example@example.com
Business Address

Street Address

Street Address Line 2

CityState

Zip Code
Federal Tax ID #
Time in Business
Business Type
State of Incorporation

Street Address

Street Address Line 2

City

Zip Code
D/B/A (if applicable)
Date of Incorporation

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Nature of Business
Transportation / Trucking
Hauling Area:
County
Cell Phone
Format: (000) 000-0000.
How many owners of this business?

OWNERSHIP INFO 1:

Business Owner Information 1
Name1

First NameLast Name
Business Title1
Primary Email1
example@example.com
Home Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
% of Business Owned
Years of industry experience
Citizenship Status
Residence
How long have you lived at current address?
Co-Signer Information
Co-Signer Name

First NameLast Name
Cosigner Title
Co-Signer Email
example@example.com
Co-Signer Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Co-Signer Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Co-Signer SSN
Co-Signer Home Address

Street Address

Street Address Line 2

CityState

Zip Code
% of Business Owned
Years of industry experience
Citizenship Status
Residence
How long have you lived at current address?

OWNERSHIP INFO 2:

Business Owner Information 2
Name2

First NameLast Name
Business Title2
Primary Email2
example@example.com
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Owner #2
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
% of Business Owned
Years of industry experience
Citizenship Status
Residence
How long have you lived at current address?

OWNERSHIP INFO 3:

Business Owner Information 3
Name3

First NameLast Name
Business Title3
Primary Email3
example@example.com
Home Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Owner #3
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
% of Business Owned
Years of industry experience
Citizenship Status
Residence
How long have you lived at current address?

OWNERSHIP INFO 4:

Business Owner Information 4
Name4

First NameLast Name
Business Title4
Primary Email4
example@example.com
Home Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Owner #4
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
% of Business Owned
Years of industry experience
Citizenship Status
Residence
How long have you lived at current address?

BANKING INFORMATION
Have you financed or leased equipment for your business in the past? *
EQUIPMENT INFORMATION
Are you purchasing equipment from dealer or private seller?

Private Seller Information
Private Seller Information

Dealer Information
Dealer Information

Equipment information
Are you putting money down?
Amount of Down Payment
Total Finance Request
Amount you are requesting after any down payment.
Address Where Equipment is stored when not in use (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there anything additional you would like to tell us about your business to assist in processing your application?
Attach Sales Quote or Invoice

Cancelof
Signature (Personal Guarantor 1)
Should be Empty: