Financing

To help us match you with an appropriate lender, please provide the following information.

If you are not comfortable filling out the form, please call us at 616-261-8790.

Current Monthly Gross

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *//

Personal Financial Information

Amount available for down payment

Credit Score Estimate *

Have you ever filed for bankruptcy? *

Ever had a repossession? *

Housing Status *

How many years have you lived at your current address? *

What is your monthly rent/mortgage? *

Citizenship Status *

Business Ownership

Do you own a business? *

Work History

Current Position

Do you have a CDL?

First time Owner Operator? *

Where do you drive? *

Total years driving experience? *

Years as Owner Operator? *

Years as a company driver? *

Hazmat? *

What do you haul?

Carrier Information

Current Carrier

Years at Carrier

Current Monthly Gross

Current Carrier Contact Name

First

Last

Current Carrier Phone Number

Are you planning on changing carriers?

New Carrier Name

New Carrier Number

Do you operate under your own authority? *

DOT Number

Garage Name

Garage Address

Fleet Information

Have you previously owned a truck or trailer?

Purchase Type

Type of Owner

Checkboxes

I allow my information to be used for marketing campaigns

Current Monthly Gross

Personal Financial Information

Business Ownership

Work History

Carrier Information

Fleet Information

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