(518) 851-3581 HUDSON, NY | (607) 278-5811 ONEONTA, NY

Credit Application


Fill out the form below & we will get in touch with you.



Applicant (Legal Co. Name)
Proprietorship, Partnership, LLC, Corporation, other
FEI# (if any)
Street Address
City
County
State
Zip
Business Phone
Fax
Mobile Phone
Email
Website
Equipment will be located at:
Products Hauled
MC#
Type of Business
Time under current ownership
# of trucks currently running
Owner Name
Title
% of ownership
DOB
Home Address
Own/Rent
Home Phone
Mobile Phone
Time w/ CDL
Time as a commercial truck owner
Co-Owner name
Title
% of ownership
DOB
Home Address
Own/Rent
Home Phone
Mobile Phone
Time w/ CDL
Time as a commercial truck owner
Equipment to be financed
New/Used/Age
Equipment Cost
Dealer
Contact
Phone
City & State
Type of Account
Account #
Loan or lease reference
Contact
Phone
Account #
Hauling Reference
Contact
Phone
City & State

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