Customer Credit Application Form

Customer Credit Application Form

IKON Trailers
Guarantor Contact Information
Contact Name

First NameMiddle NameLast NameSuffix
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Social Security Number
Format: 000-00-0000.
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Driver's License (Front & Back)

Cancelof
Business and Credit Information
Company Name
In Business Since:

MonthDayYear
Date
EIN - TAX ID Number
Format: 00-0000000.
Company Structure
History
Company Phone Number
Format: (000) 000-0000.
Company Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Income Source

Who are you currently hauling for or contracted with? If you’re an owner-operator, list any brokers or companies providing your loads.
Hauling Source
Authorization and Consent for Credit Inquiry: By signing this application, you authorize IKON Trailers and/or its designated finance partners to obtain credit and other financial information about your business and/or personal guarantor(s) as part of the credit evaluation process. An initial soft credit inquiry may be performed for prequalification purposes and will not impact your credit score. However, if you choose to move forward with financing based on terms discussed, a hard credit inquiry may be conducted, which could affect your credit score. You certify that all information provided is true and correct, and you authorize the release of credit and financial information as necessary to process this application.
OPT-IN
Signature
NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law is the Bureau of Consumer Financial Protection, 1700 G St. NW., Washington DC 20552. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact IKON Trailers LLC, 13789 IH-10 W Marion, TX 78124 , 888-432-0123 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial from our lending partners within 30 days of receiving your request for the statement.

Important information regarding USA Patriot Act: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.
How did you receive this Credit App?

Other
Should be Empty:

Customer Credit Application Form

Guarantor Contact Information

Business and Credit Information

Primary Income Source