• Home
• Credit Application

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*: Please Select One Individual Partnership Corporation S Corp C Corp LLC 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*