Application for Commercial Fleet Financing

Do You Require A Second Applicant?

Person 2

Yes No

Person 2 Information, If Needed

Person 2 Name

First Name

Last Name

Person 2 Title

Person 2 SSN

Confirm *

Enter in this format: XXX-XX-XXXX

Person 2 Address

Address Line 1

Address Line 2

City

State

ZIP Code

Person 2 Email

Person 1

Agreement*

Yes, I agree to the Terms and Conditions of this application. The undersigned certifies that the above information given for credit purposes is true and correct and authorizes the firm to whom this application is made, or an entity of the firm chooses to submit this application to, any credit bureau or investigative agency to investigate the references, statements, or other data listed or accompanying this application. The undersigned authorizes all parties contacted to release credit and finance information requested as part of said investigations. PLEASE NOTE: NO advance payment or money will be requested or collected prior to a credit approval. However, once payments are collected, if you choose to not use the firm, a refund of this money will be at the firm’s discretion. By signing below, you clearly understand these terms. EQUAL CREDIT OPPORTUNITY ACT: If your application for business credit is denied, you have a right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Commercial Fleet Financing, Inc. within 60 days from the date you are notified of our decision. Our mailing address is: Commercial Fleet Financing, Inc. 1445 MacArthur Dr. Suite 216 Carrollton, TX 75007. Our telephone number is 972-247-8447. We will send you a written statement of reasons for denial within 30 days of receiving your request for the statement. The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, gender, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Consumer Financial Protection Bureau, 1700 G Street NW, Washington DC 20006.

Name Person 1*

First Name

Last Name

Title Person 1*

Today's Date - Person 1*

MM/DD/YYYY

Person 2

Name Person 2

First Name

Last Name

Title Person 2

Today's Date - Person 2

MM/DD/YYYY

Campaign Source

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Campaign Medium

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Campaign Content

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GCLID (Google Click Identifier)

This hidden field has been added by Attribution to CRM Plugin to store GCLID (Google Click Identifier) in this Form's submission table

Campaign Name

This hidden field has been added by Attribution to CRM Plugin to store Campaign Name in this Form's submission table

First Click Campaign

First Click Landing Page

First Click Channel

First Click Source

First Click Term

First Click Medium

SECURE ONLINE CREDIT APPLICATION

Person 1 Information

Company Information

Do You Require A Second Applicant?

Person 2 Information, If Needed

Person 1

Person 2