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Credit Application

TRANSPORT SERVICES, INC.
10499 ROYALTON ROAD
CLEVELAND, OH 44133
440-582-4900        FAX 440-582-3726
www.transportservices.com
APPLICATION FOR
COMMERCIAL CREDIT
Requesting Credit For*:
Leasing & Rental       Sales       Service       Parts      
Company Name* Federal ID #*
Address* City* State* Zip*
Phone* Fax* Applicant's Name/Title*
Type*: How long in Business?* years
Social Security # Partner's Name President*
Spouse SSN (if Individual) Partner's SS# V. President
Sales Tax Exempt* Yes  No If yes, please mail Exemption Certificate with this application.
# of power units *Rent: Own:
# of trailers *Rent: Own:
# of drivers*
How did you hear about Transport Services?*
BILLING INSTRUCTIONS: PUCO NO.*
P.O. Required?* Yes  No    If yes, who may issue P.O.?
Billing Address, if Different from above:
Any Lawsuits, Judgements, etc.* Yes  No
Filed Bankruptcy* Yes No
Tax Obligations Due* Yes No
BUSINESS REFERENCES - BANK
Name of Bank A/C # Phone # Contact
* * * *
INSURANCE Carrier Agent/Phone
BUSINESS REFERENCES - TRADE (Exclude Fuel, Telephone, and Tire Vendors) Please List 5
Name* Location/ACCT#* Phone* Fax Email
Name* Location/ACCT#* Phone* Fax Email
Name* Location/ACCT#* Phone* Fax Email
Name* Location/ACCT#* Phone* Fax Email
Name Location/ACCT# Phone Fax Email
FOR EQUIPMENT FINANCING
Annual Sales Annual Profit
EQUIPMENT NOW OWNED OR BEING PURCHASED (List Trucks, Tractors, Automobiles, and all major equipment.)
Year Make or Type $ Bal $ PMTS Lender Contact Account # Phone
PROPERTY MORTGAGE OR LEASE:
$ $
Property Covered Balance Monthly Payment To Whom Owing
You are informed that the seller or any financing agency may request an investigative consumer report to be made about you or your character, general reputation, personal characteristics and mode of living. If this report is obtained and you so desire, the nature and scope of the report will be made available to you on written request.

By typing your name below, you are signing this online application. Also, you certify that all information is correct.

The above information is true and is given for the purpose of obtaining merchandise/services on credit.
Applicant's Signature* Email* Date*