OWNER OPERATOR APPLICATION
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Your email address:
Are you a homeowner? Yes/No, explain:
How long at your current address?:
Business legal name:
Business address:
City:
State:
ZipCode:
Business telephone:
Legal Entity Type:
Choose a Legal Entity Type
Corporation
Corporation S-Type
LLC
Partnership
Non-Profit
Government
Other
State of Incorporation:
Type of business, explain:
Business start date, explain:
Annual revenue, explain:
Principle Information - (100% Ownership Disclosure required. Principles listed will be required to guarantee lease.)
E-Mail:
Name (First-Middle-Last):
Date of Birth:
Title:
Percentage Ownership:
Social Security Number:
Present Residence Address, City, County, State, Zip:
Phone Number:
Other Owner / Email address:
Other Owner / Guarantor (First-Middle-Last)::
Date of Birth:
Other Owner Title:
Other Owner Percentage Ownership:
Social Security Number:
Other owner present Residence Address, City, County, State, Zip:
Phone Number:
Bank / Checking & Savings (Please include the last three(3) months bank statements)
Bank, Phone, E-Mail, Fax, Officer, Account Number, How Long? Checking / Savings / CD
Bank, Phone, E-Mail, Fax, Officer, Account Number, How Long? Checking / Savings / CD
Equipment Loans / Leases (Open or Paid)
Firm Name, Phone, E-Mail, Officer, Account Number, How Long? High Credit?
Hauling Information
Company to Haul for:
How Long there? Years: Months:
Phone:
Contact Name:
Previous Hauling Reference::
How Long there? Years: Months:
Phone:
Contact Name:
First time owner operator
Yes
No
Time as owner operator? Years: Months, explain:
Time as driver? Years: Months, explain:
Cellular phone:
Commercial Drivers License (CDL) Number:
Number of Trucks/Trailers Owned:
Trucks: Trailers:
Reason:
Replacement
Additional
Buyer to drive?:
Yes
No
Equipment Information
DEALER NAME/PHONE NUMBER
EQUIPMENT DESCRIPTION / COST:
MAKE/MODEL/YEAR/MILES/REFER HOURS:
NEW OR USED?
NEW
USED
Term Requested:
Term Requested
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
Personal Financial Statement
Assets
Liabilities
Cash On Hand
Credit Cards
Investment / Retirement
Accounts Receivable:
Accounts Payable
Real Estate, Describe:
Mortgages
Trucks Owned:
Amount Owned on Trucks
Trailers Owned:
Amount Owed on traiers:
Autos, describe:
Amount owed on Autos
Other equipment owned, descirbe
Amount owed on other equipment:
Personal Property:
Other Debts, describe:
Cash Value - Life Insurance:
Other assets, describe:
Total Liabilities:
Net Worth(Assets minus Liabilities):
Total Assets
Total Liabilities and Net Worth:
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supporting documents
Agreement and Disclaimer
I hereby confirm that each Company Owner of the Company provided in this Application (i) is aware of the Company`s request for financing; (ii) may be required to guaranty the requested financing; and (iii) have authorized El Dorado Commercial Finance, LLC to obtain their respective consumer credit report and have authorized me to provide their consent
(collectively the Credit Consent).
By clicking I agree below, I am authorized to, and hereby permit, El Dorado Commercial Finance, LLC, its successors & assigns to obtain (i) a consumer credit report on each Company Owner for credit purposes & further authorize the release to El Dorado Commercial Finance, LLC of all credit information it may request, including business & personal banking, mortgage, landlord, trade & lease information related to each of them; and (ii) confirm that each Company Owner of the company has provided the Credit Consent.
I Agree
I Disagree
I hereby confirm that by providing El Dorado Commercial Finance, LLC, with an email address or telephone number, including for a wireless device, I have obtained, and am authorized to provide, the necessary express consent from each Company Owner, and that by submitting this Application, I expressly consent on behalf of each Company Owner to communications including email, voice and text messages from, or on behalf of, El Dorado Commercial Finance, LLC, regardless of their purpose, including but not limited to marketing or collection purposes. I understand and agree that: (i) these calls and messages may be subject to charges from an internet or wireless provider; (ii) this consent is not a condition of doing business with, or making a purchase of any goods/services from, El Dorado Commercial Finance, LLC; and (iii) any Company Owner may unsubscribe or opt-out of any further telemarketing calls or marketing text messages at any time.
By clicking submit, you hereby agree the information you provided as well as the confirmations set forth in this Application are true and accurate.
Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain that statement, please contact us within 60 days from the date that you are notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of your request for the statement.
NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race,color,religion,national origin,sex,marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant`s income derives from any public assistance program,or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers our compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.
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