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Loan Application
Loan Application
Principal / Owners Information
(1) Owner's Full Name
Date of Birth
Email
Social Security #
Onwer Address
(2) Co -Signer's Full Name
(2) Date of Birth
(2) Co-signer E-mail Address
(2) Social Security #
Co -Signer's Address
Company
Contact
Signer
Tel
(2) Tel
Address
City
State
Zip Code
Years in Business
Nature of Business
Title
Business Stucture
Corporation INC
LLC
Hauling Reference
Contact Name
Address
Phone Number
E-Mail Address
Hauling Reference
Contact Name
Address
Phone Number
E-Mail Address
Hauling Reference
Contact Name
Address
Phone Number
E-Mail Address
Hauling Reference
Contact Name
Address
Phone Number
E-Mail Address
ID/CDL Signer
ID/CDL Co-Signer
Buyers Order
I hereby authorize Y&C TRUCK CAPITAL, INC and its assigns to obtain business, as well as personal information regarding my credit history via banks, trade reference, and credit reporting companies and any other extenders of credit in order to determine credit worthiness. I authorize Y&C Truck Capital to contact my hauling references in case that I fail to make 2 consecutive payments (Over 60 Days P.D)
Full Name
Date
Signature
(2) Co-Signature
(2) Date
(2) Signature
Send
