Button: Home
Button: Peterbilt Models
Button: Inventory
Button: Contacts
Button: Locations
Button: Parts and Services
Button: Credit Application
Button: Connect To Peterbilt Site
 

Credit Application

APPLICATION TYPE

Partnership Proprietorship Nonprofit Org. Corporation

Corporation Tax ID Number, if applicable  

PERSONAL INFORMATION
Primary Applicant  
Full Name  
License No.  
(With State + Expiration Date)
Date Of Birth   Age
S.S. Number      No. Dependents
Business Phone  
Residence Phone  
Spouse  
Full Name  
Date Of Birth   Age
S.S. Number  
Present Address  
Address  
City-State-ZIP  
How long?   Years & Months
Own/Rent   Own Rent
Mortgage/Rent Paid To  
Former Address  
Address  
City-State-ZIP  

CORPORATION INFORMATION

Corporation Name  
Incorporated in what state?  
Date Of Incorporation  
Date In Business  
Principal   Age
Principal Title   % Owned
Principal   Age
Principal Title   % Owned

NEAREST RELATIVES NOT AT ABOVE ADDRESS

Name Address City-State Phone Relation

EMPLOYMENT - PAST & PRESENT - FIVE YEARS

Company Name  
Contact Name     Phone 
Address  
Position    How long? 
Company Name  
Contact Name     Phone 
Address  
Position    How long?
Company Name  
Contact Name     Phone
Address  
Position    How long?
How long as an owner-operator?  
Nature Of Business  
(Materials, Between What Points,
Construction, Over-The-Road, Etc.)
Gross Monthly Income  

PURCHASER'S FINANCIAL & CURRENT CREDIT STATEMENT

Examples: How To Fill Out This Section
Description Bank Phone Acct. No. Asset
Value		 Payment
Amount		 Amount You Owe
Checking Acct. First Bank 800-888-8888 123456789 4200    
Savings Acct. First Bank 800-888-8888 123456789 2450    
Ford Bronco Loan Fifth Bank 313-333-3333 4567890 15000 525 7200
1993 Freightliner FL120 National Bank 616-666-6666 123-4568 21500 800 12500
Home Loan City Savings Bank 555-555-1212 595955 120000 925 91700
Visa First Mutual 800-111-2222 4415 3341   100 6200
Stock N/A N/A N/A 8000    
Include:
  • Assets - Real Estate, Savings Account, Trucks, Trailers, Autos, Loans
  • Liabilities - Credit Cards, Fuel Bill, Etc.
Description Bank Phone Acct. No. Asset
Value		 Payment
Amount

Amount You Owe
Have you filed bankruptcy in the last 10 years? Yes No
Any items repossessed? Yes No

SIGN & DATE

The information given above is true and complete. Lender may receive from and disclose to other persons, including credit reporting agencies, information about Applicant's accounts and credit experience and Applicant authorizes any person to release to Lender credit experience and account information on Applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on Applicant made by Lender or any person requested to release such information to Lender.
Today's Date
 Signed By


Your E-mail Address
 Your Title

Disclaimer: "E-mail is not considered to be a completely secure medium for the transmission of sensitive information. Those who e-mail credit application information do so at their own risk."

Home | Peterbilt Models | Inventory | Contacts | Locations | Parts & Services | Credit Application | Peterbilt
Site Hosted By...TruckPaper.com ®
© Copyright by Sandhills Publishing Company 2010. All rights reserved. Reproduction of material appearing on this Web site is strictly prohibited without written permission. North Central Truck Paper, Great Lakes Truck Paper, South Central Truck Paper, Western Truck Paper, North Eastern Truck Paper, South Eastern Truck Paper, Mid Atlantic Truck Paper, Mountain West Truck Paper, and Central Truck Paper are registered trademarks of Sandhills Publishing Company.