TRANSPORT SERVICES, INC.
10499 ROYALTON ROAD
CLEVELAND, OH 44133
440-582-4900        FAX 440-582-3726
www.transportservices.net 		APPLICATION FOR
COMMERCIAL CREDIT
Requesting Credit For:
Sales       Service       Parts       Rental / Leasing      
 
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.
How did you find us?
 
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
Name Location/ACCT# Phone
Name Location/ACCT# Phone
Name Location/ACCT# Phone
Name Location/ACCT# Phone
 
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