Borrower Information
Company Info
Address
Individual/Guarantor Full Name
Address
Date of Birth
Employment/References
Employer/Haul
Address
Supervisor
Experience
Financial Information
Assets
Auto / Equipment #1
Have you ever filed bankruptcy?
Have you ever had any items repossessed?
Have you ever had a foreclosure?
Acknowledgment & Authorization
Applicant Acknowledgement
The undersigned Applicant(s) hereby acknowledges and agrees to the following with reference to the credit application submitted to Green Truck Financial, LLC (“Green Truck”):
1. Applicant certifies that they are eligible to work in the US as a citizen, permanent resident, or immigrant authorized to work and are willing to complete a Form I-9 prior to closing to verify this fact.
2. Applicant further agrees to obtain, or allow to be obtained the following, as required by Green Truck:
2a. Extended Warranty (Minimum coverage of 3-year or 300,000 miles on engine & drive-train)
2b. GPS Purchase & Installation
3. Applicant may be requested to accept Guaranteed Asset Protection (GAP)
4. The undersigned Applicant also acknowledges that Green Truck will require installation of the GPS unit immediately after closing and prior to Applicant taking possession of vehicle and agrees to allow a representative of Green Truck or the GPS vendor to make such installation.
5. The Applicant acknowledges that this application for credit will not be processed until all completed forms, supplementary documents and Application Fees have been received by Green Truck, such as Green Truck requires.
Applicant Certification & Authorization
For the purpose of obtaining and maintaining credit, the Applicant hereby submits the foregoing and following information contained on this application, both written and printed, including supplemental statements, and certifies that all information contained in this application, and all attachments hereto, are true and complete to the best of the Applicant’s knowledge and are made for Green Truck and any assignee, lender, or funding service that may be utilized to obtain and use a consumer credit report on the undersigned, now, from time to time, and at any time in the future, as may be needed in the credit evaluation and review process, and waives any right or claim the Applicant would otherwise have under the Fair Credit Reporting Act in absence of this continuing consent.
The Applicant further authorizes any bank, financial institution, or trade reference to release credit information on the Applicant’s account(s) to Green Truck and/or its assigns. In addition, the Applicant authorizes Green Truck or any credit bureau to investigate the references listed herein. The Applicant further authorizes his/her Motor Carrier or potential Motor Carrier to provide verbal, digital, and/or written information about said Applicant to Green Truck. An electronic, photocopy, or facsimile copy of this authorization shall be deemed to be binding, valid, genuine, and authentic as an original signature document for all purposes. The Applicant further acknowledges that by providing his/her contact information, he/she authorizes Green Truck to contact the applicant regarding this application, future offers or announcements.
By checking the “I Agree” checkbox below, Applicant hereby acknowledges to have read and agreed to the above Acknowledgement, Certification, Authorization and the Terms and Conditions of this Application.