Credit Application
First Name
Req
Last Name
Req
Address
Req
City, ST
Req

Zip Code
Req
Phone
Email
Req
Asking Price
Amount to Finance
Req
Down Type
Req
Down $
Req
Credit Level
Req
Social
Req
Birth Date
Req
Driver's License #
Req
Do you have a CDL?
Req
Are you financed? If so what company?
Who are you or will you be leased to?
Leasing Company
Leasing Company Phone
Do you own a truck?
Req
Years driving?
Req
Vehicle Year
Vehicle Make
Haul Reference
Req
Are you interested in a warranty?
Req
Are you a Homeowner?
Req
Type of Credit
Req
Please Note: This is a prelimnary application to see if you are a possible candidate for financing. In the event that you are found eligible to apply for financing we will require additional information.
Message to Creditor and/or Trade-in Details (if applicable)
Fair Credit Reporting Act disclosure: This application for credit can be submitted to various financial institutions.

Acknowledgement
By submitting this application I / We hereby authorize any credit bureau or any other investigative agency to investigate the references herein listed or statements or other data obtained from me / us or from any other person pertaining to my / our credit and financial responsibility.

By submitting this application I / We represent, warrant and affirm that all of the statements made by me / us in this application are true and correct.


eSignature
By signing below, each undersigned individual(s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instructions to Central California Truck and Trailer Sales, LLC, its designee, nominees or assignees or potential assignees, authorization to review his or her personal credit profile from a national credit bureau. Authorization is also granted to Central California Truck and Trailer Sales, LLC, its designees, nominees or assignees or potential assignees to obtain business credit reports, bank and trade references, provided to Central California Truck and Trailer Sales, LLC or to its affiliates and to review any provided financial statements. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purposes of update, renewal or extension of such credit and for reviewing or collecting the resulting account. A photo static or facsimile copy of this authorization shall be valid as the original.

eSignature
Req
  Req = Required