Financing Application Step 1 of 4 25% 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 businessApplicant DataLegal Business Name* Federal Tax ID* Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*FaxBusiness Start Date MM slash DD slash YYYY Website Email Ownership Proprietorship Partnership Corporation LLC Ltd MC # IRP # IFTA # Owner InformationFirst Name* Last Name* Tax ID #* % of Ownership Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth Date* MM slash DD slash YYYY Add another Owner First Name* Last Name* Tax ID #* % of Ownership Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth Date* MM slash DD slash YYYY Insurance Name Insurance PhoneInsurance FaxPerson to Contact Bank Name Loan/Line of Credit PhoneFaxContact Annual Revenue Avg Annual Miles Driver Years Experience Owner Years Experience Products Hauled Haul Reference Name Haul Reference Address Haul Reference Phone Equipment LendersName Account NumberPhoneContact Name Currently Owned Number of Trucks/Tractors* Currently Owned Number of Trailers* Currently Owned Number of Other Ever Filed Bankruptcy? Yes No Chapter Date Filed MM slash DD slash YYYY Ever Had Goods/Vehicles Repossessed? Yes No If Yes, Please ExplainDate MM slash DD slash YYYY Guarantor Birthdate MM slash DD slash YYYY Social Security Number Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code I / WE ACKNOWLEDGE RECEIPT OF NOTICE IN COMPLIANCE WITH THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT IF APPLICABLE. THE FOREGOING APPLICATION HAS BEEN CAREFULLY READ (BOTH PRINTED AND WRITTEN MATTER) AND IS IN ALL RESPECTS COMPLETE, ACCURATE AND TRUTHFUL. THIS APPLICATION IS GIVEN FOR YOUR SOLE USE AND INFORMATION, AND IS NOT TO BE DIVULGED TO OR USED BY ANYONE ELSE PROVIDED, HOWEVER, THAT THE UNDERSIGNED HEREBY AUTHORIZES THE ABOVE NAMED BANK(S), TRADE AND/OR OTHER CREDIT REFERENCE(S) TO RELEASE SUCH INFORMATION AS IS NECESSARY TO ESTABLISH CREDIT WITH YOU. I/WE FURTHER REPRESENT SAID EQUIPMENT SHALE BE USED FOR A COMMERCIAL PURPOSE AND SHALL NOT BE USED FOR ANY UNLAWFUL PURPOSE.Signature of GurantorDate MM slash DD slash YYYY Please Attach a copy of your CDLMax. file size: 12 MB.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
