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Glen Burnie, MD
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Glen Burnie, MD: 410-766-8132
Frederick, MD: 301-631-0514
Richmond, VA: 804-584-4300
Baltimore, MD: 410-687-0500
Truck Credit Application
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Name
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Birthdate
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Day
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Social Security #
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Phone
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Title
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% Ownership
*
Email
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Driver's License
Max. file size: 30 MB.
State of The License
Address
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Street Address
City
Alabama
Alaska
American Samoa
Arizona
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Florida
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Rhode Island
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Tennessee
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Utah
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# Months
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Previous Address
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City
Alabama
Alaska
American Samoa
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
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Co-Borrower or 2nd Business Guarantor?
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Co-Borrower or 2nd Business Guarantor
Name
*
First
Middle
Last
Birthdate
*
Month
Day
Year
Social Security #
*
Phone
*
Title
*
% Ownership
*
Email
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Monthly Payment
*
Own
Rent
Resided at address 5 or more years?
*
Yes
No
Previous Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Equipment and Experience Info
Stock Number(s) of Truck(s) Needing Financing
Salesperson(s) You're Working With
Is this additional equipment?
*
Yes
No
Explanation:
Current Fleet Size
#Tractors
#Trailers
#Trucks
Will this truck be driven more than 51% in California?
*
Yes
No
Purchaser to drive truck?
*
Yes
No
Driver Experience
*
YRS
MOS
Owner/Operator Experience
*
YRS
MOS
Do you have a trade in?
*
Yes
No
Down payment amount
*
What terms are you looking for?
Lease or purchase?
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Lease
Purchase
Product(s) to be hauled
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Comments?
Credit History
Have you ever filed bankruptcy?
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Yes
No
Explanation:
Are you a defendant in any legal action?
*
Yes
No
Explanation:
*
Have you ever had any item repossessed?
*
Yes
No
Explanation:
*
References
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Haul Reference
Contact Name
Phone
Fax
Email
Account #
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Equipment/Loan Reference
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Phone
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Credit Application Agreement
The undersigned Customer ("Customer") hereby makes application for the extension of commercial credit to finance the purchase of certain motor vehicles from Dovell & Williams. Customer authorizes Dovell & Williams to forward this application, together with any supplemental materials submitted by Customer, to others for consideration of credit extension. Dovell & Williams may receive from and disclose to others, including credit reporting agencies, information about the applicant's accounts and credit experience. Applicant authorizes such others to release to Dovell & Williams credit experience and account information regarding applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on applicant made by Dovell & Williams or any person requested to release such information to Dovell & Williams. Customer represents and warrants that the information disclosed herein, along with any and all supplemental information, including financial statements, tax returns, and balance sheets, are accurate and complete. Customer will provide immediate notice in writing to Dovell & Williams if and when any material changes occur in this information. --- Customer authorizes release of all banking and credit information, both business and personal requested by Johnson Corporation: (Johnson & Towers Inc, Johnson Truck Center, LLC, Dovell & Williams). This form may be reproduced or photocopied and a fax copy shall be effective consent as the original which i have signed. Terms: Net-30 days unless otherwise stated. We reserve the right to charge 1 ½% per month (18% per annum) interest on all past-due accounts. In the event that it becomes necessary to place this account with an attorney for collection, undersigned agrees to be liable for said cost, including court costs and attorney fees.
I agree to Dovell & Williams Credit Application Agreement
Signature
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Δ
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OEM SPECS
Isuzu Trucks
Crane Carrier
Truck Inventory
Sell or Trade-In Your Truck
New Trucks
Used Trucks
Featured Trucks
SERVICE
Express Service Lane
Body Work
FLEET MAINTENANCE
PARTS
Online Parts Store (New!)
LEASING
Truck Credit Application
Leasing Options
LOCATIONS
Glen Burnie, MD
Frederick, MD
Richmond, VA
Baltimore, MD (Johnson & Towers Isuzu Truck)
Roanoke, VA (Western Branch Isuzu Truck)
ABOUT US
CAREERS
NEWS & SPECIALS
