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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*FaxBusiness Start Date Date Format: MM slash DD slash YYYY Website Email OwnershipProprietorshipPartnershipCorporationLLCLtdMC #IRP #IFTA # Owner InformationFirst Name*Last Name*Tax ID #*% of OwnershipPhone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth Date* Date Format: MM slash DD slash YYYY Add another Owner First Name*Last Name*Tax ID #*% of OwnershipPhone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth Date* Date Format: MM slash DD slash YYYY Insurance NameInsurance PhoneInsurance FaxPerson to ContactBank NameLoan/Line of CreditPhoneFaxContactAnnual RevenueAvg Annual MilesDriver Years ExperienceOwner Years ExperienceProducts HauledHaul Reference NameHaul Reference AddressHaul Reference Phone Equipment LendersNameAccount NumberPhoneContact NameCurrently Owned Number of Trucks/Tractors*Currently Owned Number of Trailers*Currently Owned Number of OtherEver Filed Bankruptcy?YesNoChapterDate Filed Date Format: MM slash DD slash YYYY Ever Had Goods/Vehicles Repossessed?YesNoIf Yes, Please ExplainDate Date Format: MM slash DD slash YYYY GuarantorBirthdate Date Format: MM slash DD slash YYYY Social Security NumberAddress 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 Date Format: MM slash DD slash YYYY Please Attach a copy of your CDLCAPTCHANameThis field is for validation purposes and should be left unchanged.
