Credit Application - Intermountain Trailer

CREDIT APPLICATION
Finance Manager Janell Broadhead
Phone: 801-978-7944
JanelI.Broadhead@intermountaintrailer.com
www. intermountaintrailer .com

EQUIPMENT AND SALES REP

Equipment to be financed:(Required)

Sale Price: $

Down Payment:

Term:(Required)

Salesman:

Email:

Phone#:

APPLICANT AND/OR GUARANTOR

Applicant Name:

Email(Required)

Full Address:

Date of birth:(Required)

SSN:(Required)

Phone#:

Own

Rent

Credit Status: STRONG (700 + FICO)

GOOD (650 - 700 FICO)

FAIR (600 - 650 FICO)

BUSINESS

Company Name:

Address:

Time in Business:

Fed Tax ID#:

Phone#:

Business Type:

LLC

Corporation

S Corp

Sole Proprietor

CDL

Yes

Years:

#Trailers owned:

# Tractors owned:

TRUCKING HISTORY

Haul Sources / Employment 1: (2 years of history)

Company:

Contact:

Phone#:

Haul Sources / Employment 2: (2 years of history)

Company:

Contact:

Phone#:

Prior and/or Current Commercial Loans:

Lender:

Acct#:

Phone#:

INSURANCE

Name of Insurance Company:

Agent:

Phone#:

AUTHORIZATION

By signing below: I authorize (I) Dealer and each other Financing Source to refer this Credit Application to, and share any credit Information with, any other Financing Source; (II) any Financing Source to request and obtain, any credit reporting agencies, Applicants' banks or other third parties to provide, consumer reports, background checks and credit and other Information regarding any Applicant or me Individually. I do hereby certify that the Information I have provided Is true and accurate. This authorization shall be effective from this signature date and Is extinguished automatically upon full payment of any and all borrowing, If granted.

Signature

Date