Online Credit Application

Once completed, an associate will be in contact shortly.

Customer Information

Company/Owner Name(Required)

DBA/Trade Style

Business Address

Street Address City State ZIP Code

Years at Address

Previous Address

Street Address City State ZIP Code

Years at Address

Phone Number(Required)

Federal Tax ID/SSN

Date of Birth(Required)

Nearest Relative's Name

Relative's Phone Number

Relative's Address

Street Address City State ZIP Code

Legal Entity

State of Formation

Date Established

Titling State

Primary Business Vocation

# M/D Trucks

# of Trailers

# of Tractors

# Years in Trucking

# Years as O/O

HazMat?

Guarantor/Co-Borrower

Guarantor/Co-Borrower 1

Name

Title

Date of Birth

Home Address

Street Address City State ZIP Code

Email(Required)

Federal Tax ID/SSN

Phone Number

Guarantor/Co-Borrower 2

Name

Title

Date of Birth

Home Address

Street Address City State ZIP Code

Federal Tax ID/SSN

Phone Number

Haul Sources

Business

Material Hauled

Start Date

Contact Name

Phone Number

Income (mo)

Miles (yr)

Business

Material Hauled

Start Date

Contact Name

Phone Number

Income (mo)

Miles (yr)

Financing

Lender 1

Lender Name

Account Number

Contact Name

Phone Number

City

State

Lender 2

Lender Name

Account Number

Contact Name

Phone Number

City

State

Lender 3

Lender Name

Account Number

Contact Name

Phone Number

City

State

Banking

Bank

Account Number

Balance

Phone Number

City

State

Assets and Liabilities

Assets

Cash on Hand

Inventory (tools, furniture, etc.)

Trucks & Trailers

Automobiles

Assets

Real Estate

Other

Total Assets

Liabilities (Creditor)

Accounts Payable

Bank

Trucks & Trailers

Other

Real Estate

Total Liabilities

Net Worth

Total Liabilities & Net Worth

Name

Title

Date

Signature(Required)

Name

Title

Date

Signature(Required)

Online Credit Application

Online Credit Application

Once completed, an associate will be in contact shortly.

Customer Information

Guarantor/Co-Borrower

Haul Sources

Financing

Banking

Assets and Liabilities

CIT TRUCKS

LOCATIONS

RESOURCES

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