Credit Application

Legal Business Name*

Date Established

Date Incorporated

Legal Business Address*

How Long at this Address

Location of Equipment (If Other than Business Address)

Phone Number*

Cell Number*

Fax Number*

Line of Business

DL #

Expiration Date*

Year's Experience

Monthly Gross Income

Yearly Income

Sch "C"

Sch "E"

Sch "K-1"

Number of Years at Home Address

Ownership / Guarantor Information

Type of Business (Proprietorship, Partnership. Corporation)

Federal Tax Number / Business License Number

Name

Birth Date

% Ownership

Title

Social Security Number

Home Address

Rent

Own

Monthly Payment

Home Phone

Home Fax

Name

Birth Date

% Ownership

Title

Social Security Number

Home Address

Rent

Own

Monthly Payment

Home Phone

Home Fax

Insurance Information

Name of Business Insurance Company

Company Phone Number

Contact

Phone Number

Trade & Or Hauling References / Suppliers

Name of Company

Contact

Phone Number

How Long

Bank References / Prior Comp Financing

Name of Bank

Balance

Contact

Phone Number

Account Number

Bus/Pers

Name of Bank

Balance

Vendor & Equipment Lease Information

Vendors Company Name & Address

Contact

Phone Number

Term

Amount to be Financed

Description of Equipment

New/User(Year)

Have you filed for Bankruptcy protection in the past ten years?

BY SIGNING BELOW, OR SUBMITTING ELECTRONICALLY, THE UNDERSIGNED HEREBY AUTHORIZES OUR BANKS, TRADES, AND REFERENCES TO RELEASE CREDIT INFORMATION TO TNT SALES OR ITS ASSIGNS. I/WE WARRANT THE ACCURACY OF THE INFORMATION IN THIS APPLICATION AND ANY OTHER FINANCIAL INFORMATION SUBMITTED BY THE UNDERSIGNED. ALL INFORMATION WILL BE HELD IN THE STRICTEST CONFIDENCE.

Signed

Date

Contact TNT

1826 NW Commerce Ct, Troutdale, OR 97060

PO Box 490 Troutdale, OR 97060

866-478-1242

503-251-1242

Chris McMullin

Vice President of Sales

503-507-0596

chris@tntsalesoregon.com

Allan Brown

General Manager

503-260-5992

allan@tntsalesoregon.com

Ownership / Guarantor Information

Insurance Information

Trade & Or Hauling References / Suppliers

Bank References / Prior Comp Financing

Vendor & Equipment Lease Information

OUR PARTNERS

OUR PARTNERS

OUR PARTNERS