Credit Application - SEMI TRAILER LEASE AND RENT

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secure business credit application

Company Information

Legal Business Name:

Federal Tax ID#

DBA (if applicable)

Main Phone Number

Email Address

Company Street Address

City

State

Zip Code

Type of Business / Industry:

In Business Since

Legal Form Under Which Business Operates:

C corporation S corporation LLC DBA Partnership Proprietorship

If Division or Subsidiary, Name of Parent Company:

In Business Since:

Source

Sales Team

Desired Equipment

Equipment Type Needed:

Quantity Needed

Desired Term

GPS?

Yes No

Notes / Specific Equipment Requests:

Applicant / Representative Information:

Primary Company Principal Responsible for Business Transactions:

First Name

Middle Name

Last Name

Date of Birth

Title

Social #

Office Phone Number

Mobile Phone Number

Email Address

Street Address

City

State

Zip Code

Additional Company Principal Responsible for Business Transactions

First Name

Middle Name

Last Name

Date of Birth

Title

Social #

Office Phone Number

Mobile Phone Number

Email Address

Street Address

City

State

Zip Code

Credit History

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

Yes No

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

Yes No

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

Bank References 2

Institution Name

Account Type:

Account #

Phone Number:

Street Address

City

State

Zip Code

Trade References

Company Name:

Contact Person:

Phone Number:

Street Address

City

State

Zip Code

Trade References 2

Company Name:

Contact Person:

Phone Number:

Street Address

City

State

Zip Code

Haul Source 1:

Company Name:

Phone Number:

Length Of Relationship:

Types Of Haul

Haul Source 2

Company Name:

Phone Number:

Length Of Relationship:

Types Of Haul

Acknowlagement

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 AI Trailer Lease 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.

AI Trailer Lease Inc Rental and Leasing gives you the flexibility you need when it comes to refrigerated trailer options.

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INFO@AITRAILERLEASE.COM
800-676-1694
831.322.4585
831.724.2010
PO Box 3320 Freedom, CA 95019

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