Customer Credit Application Form

Customer Credit Application Form
Contact Name*

First NameLast Name
Contact Phone Number*
Contact Email*
Social Security Number*
Date of Birth*

MonthDayYear
Residential Status?*

RentOwn
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
How Long have you lived at your current Address?*
How many years of Industry Experience?*
Annual Personal Income (Pre-Tax)*
Annual Household Income*
Estimated Credit Score*
Business Information (Optional*)

*Fill out Business information if applicable, otherwise skip to Financing
Company Name (leave blank if startup)
Business Address

Street Address

Street Address Line 2

CityState

Zip Code
What percentage of the company do you own?
Federal Tax ID Number (FEIN)
Type of Business
Years under current Ownership
Annual Revenue
Financing
Down Payment*
Loan Amount*
Loan Equipment Description*
Desired Terms*
Disclosure:

The above information, together with any accompanying financial statements, schedule, or other materials, is submitted for the purpose of obtaining credit and is warranted to be true, correct and complete.

The undersigned thereby recognizes that his/her individual credit history may be
a factor in the evaluation of the credit history and has provided his/her written authorization for inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, and shall hold American Food Trucks Factory LLC and its assignees harmless from same.

American Food Trucks Factory LLC is hereby authorized to investigate (directly or through an agent ornominee) your credit and financial responsibility.

By signing below you also understand that all trailers and equipment purchases will be made through American Food Trucks Factory
Signature*

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By providing your electronic signature, you consent to the use of an electronic record and signature for this transaction. You have the right to receive paper copies of all documents and disclosures. To request paper copies or withdraw consent for electronic signatures, contact American Food trucks Factory at (689)-237-5310 . You will need access to a computer or mobile device and an email account to receive and review electronic records. By signing below, you confirm your ability to access electronic records and consent to their use
Should be Empty:

Customer Credit Application Form

Business Information (Optional*)

Financing