General Information
Complete Legal Name



Street Address



State



Phone



Business Start Date



Last YE Sales



Email Address



Website



County
Fax



Years as Owner



Sales YTD



Tax ID#



City



Zip



Cell



# of Employees



Fleet Size

Description of Business



Organization Type


 C.Crop

 S.Crop

 Proprietor

 Partnership

 LLC

Lease Type


 $1.00

 10.0%

 FMV

Term




 36 Months

 48 Months

 60 Months


Please Answer

Has the company ever declared bankruptcy?
 No

 Yes
Have any of the guarantors ever declared bankruptcy?
 No

 Yes
Are there any outstanding lawsuits?
 No

 Yes
Are there any outstanding tax obligations?
 No

 Yes
Owner’s Information (20% or more – if more owners, include in “Other Owners”)
1. Name
Address



Date of Birth



Social Security #

US Citizen


 No

 Yes


City, State


Title


% Ownership
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