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Portland (Troutdale)
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Klamath Falls
Sacramento
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(503) 907-0193
(503) 907-0193
Portland (Troutdale)
Sacramento
Salinas
Klamath Falls
Portland (Troutdale)
Sacramento
Salinas
Klamath Falls
Edit Profile
Saved Trucks
Saved Trailers
Saved Trailers Showroom
Home
Inventory
Featured Inventory
Trailer Inventory
Truck Inventory
Finance
New Trailers
Dry Van Trailers
Refrigerated Trailers
Flatbed Trailers
Chassis
Dollies
Containers
Service/Parts
Contact Us
Home
Inventory
Featured Inventory
Trailer Inventory
Truck Inventory
Finance
New Trailers
Dry Van Trailers
Refrigerated Trailers
Flatbed Trailers
Chassis
Dollies
Containers
Service/Parts
Contact Us
Finance Credit App
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Finance Credit App
EQUIPMENT AND SALES REP
Equipment To Be Financed
*
Down Payment
*
Term
Years
Salesman
*
Email
Phone
APPLICANT AND/OR GUARANTOR
Name
*
First
Middle
Last
Applicant Email
Applicant Address
*
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Address Line 2
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State / Province / Region
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Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Åland Islands
Country
Birthdate
*
MM
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
YYYY
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Social Security #
*
Phone
*
Untitled
*
Own
Rent
Monthly Payment
*
How long at address?
*
Years
Credit Status
*
Strong (700+ FICO)
Good (650-700 FICO)
Fair (600-650 FICO)
BUSINESS
Legal Name of Business
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Guam
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Texas
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U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Time in Business
*
Years
Federal Tax ID#
*
Business Phone
*
Business Type
*
LLC
Corporation
S Corp
Sole Proprietor
Driver Experience
*
Years
Number of Tractors Owned
Number of Trailers Owned
TRUCKING HISTORY
Haul Sources / Employment: (2 years of history)
Company
*
Contact
*
Phone
*
Company
Contact
Phone
Company
Contact
Phone
Prior and/or Current Commercial Loans
Lender
Account #
Phone
Lender
Account #
Phone
INSURANCE
Name of Insurance Company
Agent
Fax #
Email
Phone
Credit Application Agreement
The undersigned Customer ("Customer") hereby makes application for the extension of commercial credit to finance the purchase of certain motor vehicles from Coast Hyundai Trailers. ("Coast Hyundai Trailers"). Customer authorizes Coast Hyundai Trailers to forward this application, together with any supplemental materials submitted by Customer, to others for consideration of credit extension. Coast Hyundai Trailers may receive from and disclose to others, including credit reporting agencies, information about the applicant's accounts and credit experience. Applicant authorizes such others to release to Coast Hyundai Trailers credit experience and account information regarding applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on applicant made by Coast Hyundai Trailers or any person requested to release such information to Coast Hyundai Trailers. Customer represents and warrants that the information disclosed herein, along with any and all supplemental information, including financial statements, tax returns, and balance sheets, are accurate and complete. Customer will provide immediate notice in writing to Coast Hyundai Trailers if and when any material changes occur in this information.
I agree to Coast Hyundai Trailers Financial Credit Application Agreement
Signature
*
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