Financing Application – Smith International Truck Center

FINANCE APPLICATION

Initial Here*
Vehicle Information
Type
Condition
Year
Make
Model
Down Payment
Your Contact Information
Name
First Middle Last
Work Phone
Residence Phone
E-mail
Driver's License
Date of Birth
Physical Address Information
Address
Physical Street City State ZIP Code
County
Housing Information
Do Your Rent/Own your home, or other?
- I own my home
- I rent my home
- Other
Landlord/Mortgage Holder
Rent/Mortgage Monthly Amount
Mortgage Balance
How Long at Current Residence ( Years & Months )
Banking Information
Name of Bank
Account Types
Name of Bank
Account Types
Previous Residence (if less than 5 years at Current Residence…)
Address
Street Address City State / Province / Region ZIP / Postal Code
How Long at Previous Residence ( Years & Months )
Employer Information
Occupation Name
Employer Name
Employer Address
Street Address City State / Province / Region ZIP / Postal Code
Employer Phone
Salary (Annually Gross)
Time at Employer ( Years & Months )
Type of Employment
- Full Time
- Part-Time
Other Income Amount
Other Income Frequency
Business Information
Business Name DBA Tax ID Phone Number
Work Haul | References
Reference #1
Business Name Phone Number How Long Position
Driver | Owner | Operator
- Driver
- Owner
- Operator
Reference #2
Business Name Phone Number How Long Position
Driver | Owner | Operator
- Driver
- Owner
- Operator
Reference #3
Business Name Phone Number How Long Position
Driver | Owner | Operator
- Driver
- Owner
- Operator
Are you a defendant in any legal action?
- Yes
- No
Have you ever taken Bankruptcy?
- Yes
- No
Are you a defendant in any legal action?
- Yes
- No
Truck Usage
Reason For Purchase
- Select All
- Tank
- Food
- Reefer
- Dry Goods
- Waste
- Hazardous
- Construction
- Other
Reason For Purchase?
- Additional Unit
- Replacement
First Time Operator?
- Yes
- No
Buyer To Drive?
- Yes
- No
Truck Owner List
Time With CDL #Trucks Owned #Trailers Owned
Do You Have Own Authority?
- Yes
- No
Title Will Be In?
- Personal Name
- Business Name
State Truck Will Be Registered In?
Question List
Current Truck Financed With? Phone Number Equipment
Account Paid?
- Yes
- No
Reference 1 Name
Reference 1 Phone
Reference 1 City
Reference 1 State
Reference 2 Name
Reference 2 Phone
Reference 2 City
Reference 2 State
Reference 3 Name
Reference 3 Phone
Reference 3 City
Reference 3 State
Reference 4 Name
Reference 4 Phone
Reference 4 City
Reference 4 State
CAPTCHA

Business Name	DBA	Tax ID	Phone Number

Business Name	Phone Number	How Long	Position

Business Name	Phone Number	How Long	Position

Business Name	Phone Number	How Long	Position

FINANCE APPLICATION

Vehicle Information

Your Contact Information

Physical Address Information

Housing Information

Banking Information

Previous Residence (if less than 5 years at Current Residence…)

Employer Information

Business Information

Work Haul | References

Truck Usage