Truck Site | Street Sweeper, Garbage, Dump & Fire Trucks for Sale

SECURE FINANCE APPLICATION

General Information

Business Name *

Provide your Business Name

Physical Address *

Provide your Physical Address

City

Provide your City

State

Provide your State

ZIP

Provide your ZIP

Phone *

Provide your Phone

Fax

Provide your Fax

Email *

Provide your Email

Type of Business *

Provide your Type of Business

Type of Organization *

Provide your Type of Organization

(Corporation, Partnership, LLC, Proprietorship, …)

Years in Business*

Provide your Years in Business

Years in Industry*

Provide your Years in Industry

TAX ID# *

Provide your TAX ID#

List of Corporate Officer(s), Partner(s), Owner(s)

1st Officer

Full Name*

Title*

Social Security Number*

Driver's License*

Date of Birth*

2nd Officer

Full Name*

Title*

Social Security Number*

Driver's License*

Date of Birth*

3rd Officer

Full Name*

Title*

Social Security Number*

Driver's License*

Date of Birth*

Add more

Bank Reference

Name of Bank *

Provide your Bank

Address

Provide Address

Phone

Provide Phone

Checking Account #

Provide Checking Account #

Loan #

Provide Loan #

Trade Reference

1st Trade Reference

Name*

Provide Full Name

Address

Account #

Phone

2nd Trade Reference

Name*

Provide Full Name

Address

Account #*

Account #

Phone

3rd Trade Reference

Name*

Provide Full Name

Address

Account #*

Account #

Phone

Statement of Consent

CREDIT INQUIRY AUTHORIZATION
The Signature below authorizes TRUCK SITE and outside finance companies to obtain any and all credit information necessary to process my/our loan application, including but not limited to, information concerning my/our savings and checking deposits, any of my/our loan credit histories.
I certify that the information provided by me is correct.

Signature *

Type Your full Name

Date