Fontana Truck Center Credit Application

CREDIT APPLICATION

WWW.FONTANATRUCKCENTER.COM
16310 Slover ave, Fontana CA 92337
Any questions? Contact us!
909-333-5124 sales@fontanatruckcenter.com
Name
Full name
Name

First NameLast Name
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Phone
Format: (000) 000-0000.
Email Address
example@example.com
Driver License Number
Driver License State
Driver License Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address
City
State
ZIP Code
Do you own or rent your home?
Monthly payment or rent
How long
Previous address
Please enter your previous address if your current address is less than 1 year
City
State
ZIP Code
EMPLOYMENT INFORMATION (MINIMUM 3 YEARS)
Truck to Work For Company Name
City and State
Phone
Format: (000) 000-0000.
Email (truck to work for)
example@example.com
Current Employer Company Name
City and State
Phone
Format: (000) 000-0000.
Email
example@example.com
Contact Name
Position Held
How Long
Employer Company Name
Previous Employer if your current employer is less than 1 year
City and State
Phone
Format: (000) 000-0000.
Contact Name
How Long
Gross Monthly Income
Before expenses and taxes. If you operate as a company, use gross monthly business revenue.
Self-Reported Credit Score
Any Repossessions or Bankruptcy
Explanation
if yes,
Company Name
Entity Type
Do you own 100% of the business?
Other owners — name and ownership %
Most lenders require anyone owning 20% or more to apply and guarantee.
Business Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate this business was established
Years as Owner/Operator
Years running your own truck, not counting time as a company driver.
Years Driving Experience
Total years driving, including as a company driver.
Number of Trucks
Number of Trailers
Tax ID
MC Number
MC: e.g. MC-123456 — leave blank if you operate under another carrier's authority
US DOT Number
DOT: e.g. 1234567 — leave blank if you operate under another carrier's authority
Product Hauled
Hauling Between What Points
OTHER ASSETS OR SOURCES OF INCOME
Asset Description
Available Down Payment
Value Amount or Finance Company
Please enter your previous truck and trailer informations (Exmp: 2015 Freightliner Cascadia)
Signature
I authorize FONTANA TRUCK CENTER to verify the information provided on this form as to my credit and employment history. Signature of applicant
Should be Empty:

CREDIT APPLICATION

EMPLOYMENT INFORMATION (MINIMUM 3 YEARS)

OTHER ASSETS OR SOURCES OF INCOME