Credit Application

Legal Business Name *

DBA

Company Structure *

Business Address *

Business Address Line 2

Business City *

Business State *

Business Zip *

State Incorporated *

Home-based Business? *

Yes

No

Owner First Name *

Owner Last Name *

Ownership % *

Owner Address *

Owner Address Line 2

Owner City *

Owner State *

Owner Zip *

Rent or Own? *

Rent

Own

Business Phone

Cell Phone *

Email *

Date of Birth * +

SSN *

Fed Tax ID/EIN *

Date Established * +

Website

Credit Range *

Are you a FedEx Contractor? *

Yes

No

Terminal Name and Address *

Number of trucks in fleet? *

Tax Exempt *

Yes

No

Business Industry *

How much are you looking to finance? *

Were you referred? *

Yes

No

Referral Name *

Are you financing equipment? *

Yes

No

Equipment Address *

Have you had ANY late payments in the last year? *

Yes

No

Have you ever declared bankruptcy? *

Yes

No

If yes, please list and explain reasons for late payments. *

Have you financed trucks in the last 12 months? *

Yes

No

Number of trucks financed in the last 12 months: *

3 Months Business Banks

2023 BS & P&L

Applicant authorizes Capital Financial Group L.L.C. and their affiliate lenders to carry on a complete credit investigation of applicant and the principals as Capital Financial Group L.L.C. and affiliate lenders the deems necessary to process this application. Furthermore, by signing below you certify that the statements above and on any attachments are true and complete as of the date given below. *

Agree

Signature *

clear

Date * +

Account Manager: *

Dealer Code (Vendors Only)

How did you hear about us *