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Finance Application

Step 1 of 5

20%

Business Information

TO GREAT DANE OF UTAH, INC AND/OR ITS ASSIGNESS, FOR THE PURPOSE OF OBTAINING CREDIT FROM YOU, OR AS A BASIS OF CREDIT FOR FUTURE BUSINESS, THE FOLLOWING COMPLETE STATEMENT IS MADE: IT IS AGREED THAT I / WE WILL NOTIFY YOU PROMPTLY, SHOULD THERE BE ANY MATERIAL CHANGE IN MY FINANCIAL CONDITION OR FINANCIAL CONDITION OF THE BUSINESS.
What business is applying for credit?(Required)
Business Type(Required)
Email Address(Required)
Business Address(Required)
No hyphens. Only numbers.
MM slash DD slash YYYY

Business Principal 1

Principal 1 - Name(Required)
No hyphens. Only numbers.
MM slash DD slash YYYY
Principal 1 - Home Address(Required)

Business Principal 2

Principal 2 - Name
No hyphens. Only numbers.
MM slash DD slash YYYY
Principal 2 - Home Address

Business History

Insurance

Insurance Name
Insurance Person to Contact

Bank

Bank Name

References

Haul Reference Name / Company 1(Required)
Haul Reference Name / Company 2

Equipment Lender 1

Lender 1 - Name
Lender 1 - Contact Name

Equipment Lender 2

Lender 2 - Name
Lender 2 - Contact Name

Equipment Lender 3

Lender 3 - Name
Lender 3 - Contact Name

Current Equipment

Financial History

Have you ever filed for Bankruptcy?(Required)
MM slash DD slash YYYY
Have you ever had goods / vehicles repossessed?(Required)
MM slash DD slash YYYY

Guarantor

Guarantor Name
Guarantor Address
MM slash DD slash YYYY
No hyphens. Only numbers.

Authorization

Consent(Required)
By signing below, the undersigned submits the above information for the purpose of obtaining credit and represents that all such information is true, complete, and accurate. By signing below, each of the undersigned individuals authorize Great Dane of Utah, Inc and its affiliates, successors, and assigns to obtain consumer credit reports relating to their individual credit history and/or creditworthiness in connection with: (a) this credit application by the applicant identified above ("Applicant"); (b) any guaranty by the undersigned of the debts, liabilities or obligations of Applicant to Bank; (c) Bank's periodic review of any credit extended by Bank to Applicant, or any guarantee of thereof by the undersigned; (d) any collection action with respect to any credit extended by Bank to Applicant, or any guarantee thereof by the undersigned; and (e) any other legitimate purpose. If Bank declines this credit application, this consent shall also extend to any prospective credit provider to which Bank may refer such application.
Please upload a copy of your commercial drivers license.
Drop files here or
Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 10 MB, Max. files: 2.

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