Sales:: 866.225.8490
13123 48th Ave South, Seattle, WA, 98168
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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

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