Credit Application - A

1900 S. Riverside Ave. Colton, CA 92324
(800) 437-5522 | Fax (951) 781-4905
3418 52nd Ave. Sacramento, CA 95823
(800) 458-6363 | Fax (961) 391-1093
Email: [email protected]
BUSINESS APPLICATION
Authorization to Obtain and Release Consumer Credit Information (the “Financing”)
Vehicle Being Purchased (Yr, Make, Model)
Finance Plan Desired: Lease
Sales Price_________________________
Note
Term (mos.):
Special______
___________________________
Replacement or Additional:
A. COMPANY INFORMATION
COMPLETE LEGAL NAME
dba ____________________________________________
STREET ADDRESS
CITY
PHONE NO.
STATE
FAX NO.
TIME IN BUSINESS
EMAIL ADDRESS
PRINCIPAL BUSINESS ACTIVITY
CORPORATION
LLC
PARTNERSHIP
GENERAL
S CORP.
C CORP.
LIMITED
Any prior bankruptcies, personal or business?
if yes, date filed
OWNERS/GUARANTORS “Borrowers”
Yes
Mos.
STATE OF INC.
Federal Tax ID #
No
Any open Suits, Liens, Judgments or Repossessions?
If yes, explain
HOME ADDRESS
1.
Own
Home Phone ______________________________
Yrs.
# VEHICLES IN FLEET______
DATE OF INC.
SOLE PROPRIETOR (“DBA”)
ZIP __________
Rent
Yes
No
SOC. SEC. #
DATE OF BIRTH
% OWNED
__________________
_____________
________
__________________
_____________
________
Cell Phone ______________________________
Own
2.
Home Phone ______________________________
Rent
Cell Phone ______________________________
B. COMP – HIGH CREDIT INFORMATION FOR A LIVERY VEHICLE FINANCED FOR THE BUSINESS OVER ONE YEAR
*IMPORTANT- Current vehicle fleet, finance/lease sources
YEAR, MAKE, MODEL
DATE DELIVERED
FINANCED/LEASED BY
HIGH CREDIT
1.
__________________
2.
__________________
BORROWERS SIGNATURES- In connection with the above referenced Financing (and any update, extension, modification, renewal or review thereof if
such Financing is granted), each of the undersigned hereby authorizes A-Z Bus Sales, Inc. (collectively ‘A-Z Bus’) and its assigns to make all inquiries it
deems necessary to verify the accuracy of information provided by the undersigned and/or to determine the undersigned’s creditworthiness including,
without limitation, obtaining consumer and/or business credit reports regarding the undersigned. Each of the undersigned hereby acknowledges that
A-Z Bus Sales will obtain a consumer credit report concerning them.
BORROWER: ___________________________________ DATE: _______________
BORROWER: ___________________________________ DATE: _______________
www.a-zbus.com