Fleet Leasing - Commercial Credit App

Secure Business Credit Application

Use this application only if you are applying for credit in the name of your Company.

Do not use this application if your company has been in business less than 3 years.

Company Information:

Legal Business Name: *

Federal Tax ID # *

DBA (if applicable)

Main Phone Number *

Company Street Address *

City *

State *

Zip Code *

Type of Business / Industry:

In Business Since: (must be at least 3 years) *

If Division or Subsidiary, Name of Parent Company:

In Business Since: *

Desired Equipment:

Equipment Type Needed: *

Quantity Needed: *

GPS? *

Desired Term: *

Notes / Specific Equipment Requests:

Applicant / Representative Information:

Primary Company Principal Responsible for Business Transactions:

First Name *

Middle Name *

Last Name *

Date of Birth * +

Title *

Office Phone Number *

Mobile Phone Number *

Street Address *

City *

State *

Zip Code *

Email Address *

Additional Company Principal Responsible for Business Transactions:

First Name

Middle Name

Last Name

Date of Birth +

Title

Office Phone Number

Mobile Phone Number

Street Address

City

State

Zip Code

Email Address

Credit History:

Have you, your company officers or affiliates, or your company ever filed a petition in bankruptcy? *

Are you, your company officers or affiliates, or your company subject to any litigation? *

If you answered yes to either of the above or have items negatively affecting your credit history which require explanation please provide that information here: *

Bank References:

Institution Name *

Account Type: *

Account # *

Phone Number: *

Street Address *

City *

State *

Zip Code *

Institution Name:

Account Type:

Account #

Phone Number:

Street Address

City

State

Zip Code

Institution Name:

Loan #

Phone Number:

Street Address

City

State

Zip Code

Trade References:

Company Name: *

Contact Person *

Phone Number: *

Street Address *

City *

State *

Zip Code *

Company Name:

Contact Person

Phone Number:

Street Address

City

State

Zip Code

I/We certify that all information entered in this application is true and complete. This request is for an AI Trailer Lease Inc billing account. I/We authorize Fleet Leasing to obtain further information concerning the credit and financial condition of the corporation, principal owner, proprietors, or partners; and to exchange or provide information with other credit grantors. I/We agree to pay the amount invoiced in full and will provide a separate financial statement upon request. If my (our) business is a corporation, I (we) agree to be personally responsible as guarantor for any purchases made by the corporation.

Signature *

clear

Secure Business Credit Application

Company Information:

Desired Equipment:

Applicant / Representative Information:

Credit History:

Bank References:

Trade References:

MENU

Contact Us