Welcome to TrailerMax.com Trailer solutions for your company.

™

4100 FACTORY HILL SAN ANTONIO, TEXAS 78219 TEL: (210)-337-7900 FAX: (210)-337-2945

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company credit applications

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important to list legal name of entity
Legal Name :
DBA :
Billing Address :
City :
County:
State (2 letter abbr.) :
Zip Code
Telephone :
Equipment Location Address :
Telephone :
Nature of business :
Type of business	Corporation LLCPartnership Sole Owner Sub SNon-Profit
Years in business :
Federal ID # :

personal information on officers, partners, or grantors
Principle / Owner :
Home Address :
Home Phone :
Social Security Number :

Principle / Owner :
Home Address :
Home Phone :
Social Security Number :

bank references
Name of Bank / Branch:
Checking Account / Loan Number :
Date Opened :
Telephone :
Contact Person :

Name of Bank / Branch:
Checking Account / Loan Number :
Date Opened :
Telephone :
Contact Person :

trade & finance references
Name of Supplier / Institution :
Account Number :
Telephone :
Contact Person :

Name of Supplier / Institution :
Account Number :
Telephone :
Contact Person :

Equipment information
Description / Unit # :
Cost (tax not included) :

Have you had equipment repossessed in the last 7 years or a bankruptcy in the last 10 years?
Yes No

I / We affirm that the information in this application is true and correct and given for the purpose of obtaining credit. References are authorized to provide all relevant information to you. I / We authorize First Capital Funding Inc. to obtain credit reports concerning my credit history and investigate my financial statements and tax returns.

Today's Date: