COMPANY NAME
BUSINESS ADDRESSS
BUSINESS EMAIL
BUSINESS PHONE
TAX ID #
YEARS IN BUSINESS
NUMBER OF TRUCKS OWNED:
NUMBER OF TRAILERS OWNED:
First Name
Last Name
Current Address
Housing: RentOwn
Previous Address (if less than 5 years)
Time @ Current Home
Monthy Payment
Social Security #
DL # / State
Date of Birth
Email
Phone Number
Gross Monthly Income
TERMS Signatures: I certify that everything I have stated in this application and on any attachments is correct. You may keep this application whether or not it is approved. By signing below, I authorize RK Truck Sales and its affiliates, successors, and assignes to check my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.
DRIVER LICENSE
3 MO BANK STATMENTS
SIGNATURE