Bank #1
Bank #2 or Previous Bank:
Landlord or Mortgage Holder:
Reference #1
Reference #2
Reference #3
Reference #4
Reference #5
FAILURE TO FILL OUT COMPLETELY WILL VOID APPLICATION AND RESULT IN A DELAY OF OPEN ACCOUNT PRIVILEGES.
I (We) authorize Nebraska Truck Center to make whatever credit inquiries it deems necessary in connection with this Credit Application or in the course of review or collection of any credit extended in reliance on this application and instruct any person or consumer reporting agency to compile and furnish Nebraska Truck Center that it may have or obtain in response to such credit inquiries and agree that such information, along with this application shall remain Nebraska Truck Center property whether or not credit is extended. I (We) hereby agree to cooperate in consideration of this privilege by making settlement on or before the Tenth of the Month following purchase. Should payment not be made accordingly, it is understood the amount will be subject to being placed on a CASH BASIS. Accounts not paid within 30 days from the date of sale shall be considered past due and charged interest at a rate of 16% per annum.