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
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