Own, Rent, Years, Amount $/Dueno, Renta, Anos, Catidad$ *
Your answer
Business Name/Nombre de Negocio *
Your answer
Business Address/Direccion de negocio *
Your answer
Years in Business/Anos con negocio *
Your answer
Years of Industry Experience/Año de experiencia *
Your answer
Type of Business/Tipo de negocio Corporation, LLC, Partnership,Sole proprietor *
Your answer
Date Established/Año cuando se establecio *
Your answer
State of Inc./Org./Estado de negocio *
Your answer
E.I.N # *
Your answer
US DOT *
Your answer
Monthly Income/Mensualidad de ingreso *
Your answer
Commercial Credit (Bank and Equip) *
Your answer
Equipment Owned/Equipo que es dueño
#Trucks #Trailer
*
Your answer
Equipment Address/Direccion de equipo *
Your answer
any Bankruptcy?/Alguna Bancarota? *
Child Support past due?/Debe Manutencion *
Any Taxes owed?/Debe impuestos?
Clear selection
Hauling Reference Company/Referecia de trabajo *
Your answer
Material hauled?/Material que carga? *
Your answer
Hauling Reference Contact/Contacto de Referencia *
Your answer
Term Requested 60 o 72/Tiempo de financiamiento *
Equipment Year/Año de equipo *
Equipment Make/Marca de Equipo *
Choose
ILT
GTC
Puma
Paisanos
Dura Haul
Fruehauf
Other
Equipment Model/Modelo de Equipo *
Choose
Half Round End Dump
Belly Dump
Sand Chasis
Aluminum End Dump
Drop Deck
Vacuum Tank
Dry Van
Used Trailer
Used Truck
Equipment Specs/Especificaciones de equipo *
Required
Equipment Specifications 2 (Color/Colores) *
Choose
White
Black
Red
Green
Grey
Blue
Other
Name of Insurance/Nombre de Aseguranza
Your answer
Titling State/Estado para el titulo *
If you want to finance under your business what is % Ownership/Que porcentaje es dueno del negocio
Your answer
How did you hear about us?/Como llego a nosotros? *
Your answer
Who is your Salesperson? (None if none- Salesman)/Vendedor/a?
Your answer
Statement
By filling this you authorize Guerra Truck Center LLC and any credit investigative agency to verify the references, statements or other date listed in or accompanying this application. Al llenar esta forma doy autorizacion para revisar mi credito y todo lo que se encuentra en la aplicacion.