Sales:: 866.225.8490
13123 48th Ave South, Seattle, WA, 98168
Search
Husky International Trucks Logo
 
 
Credit Application
Application Type
 * 
Corporation Tax ID Number, if applicable* 
Personal Information
(With State + Expiration Date)
Primary Applicant
Age* 
Name* 
License No.* 
No. Dependens* 
Business Phone:* 
Residence Phone* 
Date of Birth* 
S.S. Number* 
Spouse
Full Name* 
Age* 
Date of Birth* 
S.S. Number* 
Fieldset
How long ?
Own/Rent * 
Present Address
Address Line 1* 
Address Line 2* 
City* 
State* 
Zip* 
Mortgage/Rent Paid To* 
Years * 
Months * 
Former Address
State* 
Address Line 1* 
Address Line 2* 
City* 
Zip* 
Corporation Information
Corporation Name* 
Date Of Incorporation* 
Date In Business* 
Federal Tax Id* 
Current number of trucks in operation* 
How many trailers ?* 
Incorporated in what state?* 
Principal* 
Age* 
Principal Title* 
%Owned* 
Principal* 
Age* 
Principal Title* 
%Owned* 
# Owner/Operators* 
Have you ever filed Bankruptcy * 
if Yes, When & Why ? * 
Have you ever had any items Repossessed * 
if Yes, When & Why ? * 
Are you involved in any legal actions* 
Do you have any Judgments or Liens* 
Nearest Relatives Not At Above Address
Name* 
Address* 
City* 
State* 
Phone* 
Relation* 
Name* 
Address* 
City* 
State* 
Phone* 
Relation* 
Name* 
Address* 
City* 
State* 
Phone* 
Relation* 
Name* 
Address* 
City* 
State* 
Phone* 
Relation* 
Current Haul/Business contracts
(Materials, Between What Points,
Construction,Over-The-Road, Etc.)
Company Name * 
Contact Name* 
Address* 
Position* 
Phone* 
How long ?* 
Company Name * 
Contact Name* 
Address* 
Position* 
Phone* 
How long ?* 
Company Name * 
Contact Name* 
Address* 
Position* 
Phone* 
How long ?* 
How long as an owner-operator ?* 
Gross Monthly Income* 
Nature Of Business* 
Trade - in Description
Trailer
Truck
Year* 
Make* 
Model* 
Engine* 
Transmission* 
Rears* 
Sleeper* 
Serial Number* 
Condition * 
Months In Loan* 
Payment Amount* 
Amount Still Owed* 
Title State* 
Other Info * 
Year* 
Make* 
Model* 
Engine* 
Transmission* 
Rears* 
Sleeper* 
Serial Number* 
Condition * 
Months In Loan* 
Payment Amount* 
Amount Still Owed* 
Title State* 
Other Info * 
Purchase Item Description
Year* 
Model* 
Make* 
Truck/Trailer * 
Detailed Description * 
Purchaser's Financial and Current Credit Statement
Examples: How To Fill Out This Section
Include:
           Assets - Real Estate, Savings Account, Trucks, Trailers, Autos, Loans
           Liabilities - Credit Cards, Fuel Bill, Etc.
 
Description* 
Bank* 
Phone* 
Actt. No.* 
Asset Value* 
Amount You Owe* 
Payment Amount* 
Description* 
Bank* 
Phone* 
Actt. No.* 
Asset Value* 
Amount You Owe* 
Payment Amount* 
Description* 
Bank* 
Phone* 
Actt. No.* 
Asset Value* 
Amount You Owe* 
Payment Amount* 
Description* 
Bank* 
Phone* 
Actt. No.* 
Asset Value* 
Amount You Owe* 
Payment Amount* 
Description* 
Bank* 
Phone* 
Actt. No.* 
Asset Value* 
Amount You Owe* 
Payment Amount* 
Have you filed bankruptcy in the last 10 years? * 
Any items repossessed? * 
Sign and Date
The information given above is true and complete. Lender may receive from and disclose to other persons, including credit reporting agencies, information about Applicant's accounts and credit experience and Applicant authorizes any person to release to Lender credit experience and account information on Applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on Applicant made by Lender or any person requested to release such information to Lender.
Today's Date* 
Your Title* 
Email* 
Signed By* 
Security

Please draw the shape in the box to submit the form *

Submit