7644 Kings Pointe Rd Toledo, OH 43617 419-214-4502 info@holtfinance.com

Truck & Trailer Finance Application

Truck and Trailer 

Personal Information

Name*

Address

City, State, & Zip

Social Security Number*

--

Date of Birth

 /  / 

Phone Number

- -

Home Owner?

YesNo

Have you had any repossessions in the past 8 years?

YesNo

Have you filed for bankruptcy in the past 8 years?

YesNo

Company Information

Company Name

Date Formed

 /  / 

Annual Revenue

Number of Employees

Number of Trucks Owned

Number of Trailers Owned

Do you factor your invoices?

YesNo

Trucking Industry Experience

Years as Driver:

Years as Owner-Operator:

CDL?

YesNo

Hauling Reference Name

Hauling Company Phone Number

- -

Contact:

What do you Haul?

Equipment-Vendor Information

Have you picked out the equipment you want to finance?

YesNo

Equipment Description:

Dealership/Private Party Name:

Salesperson:

Dealership/Private Party Phone Number:

- -

Cost of Equipment

Down Payment Available (minimum 15% down)

Referred By

Electronic Signature *

By signing below, each undersigned individual(s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to Holt Holdings, LLC dba Holt Truck Finance, or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit file from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purpose of update, renewal, or extension of such credit, and for reviewing or collecting the resulting account. A photo static or facsimile copy of this authorization shall be as valid as the original.

*Must be a resident of Ohio, Michigan, Indiana, Kentucky, West Virginia or Western Pennsylvania

Holt Truck Finance

7644 Kings Pointe Rd Toledo, OH 43617
Phone: 419-214-4502
Fax: 419-720-3980
Email: info@holtfinance.com