Truck Credit Application

Business Type*

Corporation
Partnership
LLC
DBA
Owner Operator

Business

Exact Legal Name of Business*

Federal Tax ID#*

Business Phone*

Business
Mobile

Address*

Street Address City State ZIP Code

Years In Business*

Date of incorporation*

State of incorporation*

Owner Operator/Business Guarantor

Name*

First Middle Last

Birthdate*

Social Security #*

Phone*

Title*

% Ownership*

Email*

Driver's License

Max. file size: 30 MB.

State of The License

Address*

Street Address City State ZIP Code

Monthly Payment*

Own
Rent

Resided at address 5 or more years?*

Yes
No

# Years*

# Months*

Previous Address

Street Address City State ZIP Code

Co-Borrower or 2nd Business Guarantor?*

Yes
No

Co-Borrower or 2nd Business Guarantor

Name*

First Middle Last

Birthdate*

Social Security #*

Phone*

Title*

% Ownership*

Email*

Address*

Street Address City State ZIP Code

Monthly Payment*

Own
Rent

Resided at address 5 or more years?*

Yes
No

Previous Address

Street Address City State ZIP Code

Equipment and Experience Info

Stock Number(s) of Truck(s) Needing Financing

Truck Type*

New
Used

Salesperson(s) You're Working With

Is this additional equipment?*

Yes
No

Explanation:

Current Fleet Size

# Tractors

# Trailers

# Trucks

Will this truck be driven more than 51% in California?*

Yes
No

Purchaser to drive truck?*

Yes
No

Driver Experience*

YRS

MOS

Owner/Operator Experience*

YRS

MOS

Do you have a trade in?*

Yes
No

Down payment amount*

What terms are you looking for?

Lease or purchase?*

Lease
Purchase

Product(s) to be hauled*

Comments?

Credit History

Have you ever filed bankruptcy?*

Yes
No

Explanation:

Are you a defendant in any legal action?*

Yes
No

Explanation:*

Have you ever had any item repossessed?*

Yes
No

Explanation:*

References

Haul Reference	Contact Name	Phone	Fax	Email	Account #

Equipment/Loan Reference	Contact Name	Phone	Fax	Email	Account #

Credit Application Agreement

The undersigned Customer ("Customer") hereby makes application for the extension of commercial credit to finance the purchase of certain motor vehicles from Johnson Truck Center. Customer authorizes Johnson Truck Center to forward this application, together with any supplemental materials submitted by Customer, to others for consideration of credit extension. Johnson Truck Center may receive from and disclose to others, including credit reporting agencies, information about the applicant's accounts and credit experience. Applicant authorizes such others to release to Johnson Truck Center credit experience and account information regarding applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on applicant made by Johnson Truck Center or any person requested to release such information to Johnson Truck Center. Customer represents and warrants that the information disclosed herein, along with any and all supplemental information, including financial statements, tax returns, and balance sheets, are accurate and complete. Customer will provide immediate notice in writing to Johnson Truck Center if and when any material changes occur in this information. --- Customer authorizes release of all banking and credit information, both business and personal requested by Johnson Corporation: (Johnson & Towers Inc, Johnson Truck Center, LLC, Dovell & Williams). This form may be reproduced or photocopied and a fax copy shall be effective consent as the original which i have signed. Terms: Net-30 days unless otherwise stated. We reserve the right to charge 1 ½% per month (18% per annum) interest on all past-due accounts. In the event that it becomes necessary to place this account with an attorney for collection, undersigned agrees to be liable for said cost, including court costs and attorney fees.

I agree to Johnson Truck Center Credit Application Agreement

Signature*

COMMERCIAL TRUCK FINANCING APPLICATION

Business

Owner Operator/Business Guarantor

Co-Borrower or 2nd Business Guarantor

Equipment and Experience Info

Credit History

References

Credit Application Agreement

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