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Business Credit Information
Please forward this application to:
*Legal Name:
Date Of Birth (for individuals):
DBA:
*Organization Type:ProprietorshipCorpSub SLLCPartnershipOther
Tax Exempt Number:
*State Issued Organization Number (not tax id):
State of Organization or state of legal residence for induviduals:
*Tax ID Number or SSN:
*Gross Profit (monthly income):
Type of Business:
Years in Business:
Email:
Web Address:
*Primary Legal/CEO Address:
*City:
*State:
*Zip Code:
Mailing Address (if different than above):
Mailing City:
Mailing State:
Mailing Zip Code:
Fleet Manager Name:
Fleet Manager Phone:
Fleet Manager Email:
Garage Address:
Contact Name:
Phone:
Fax:
Owner/Guarantor Name:
Owner/Guarantor Title:
Owner/Guarantor Address:
Owner/Guarantor Phone:
Owner/Guarantor SSN/TN:
Owner/Guarantor DOB:
Owner/Guarantor Ownership %:
Additional Owner/Guarantor Name:
Additional Owner/Guarantor Title:
Additional Owner/Guarantor Address:
Additional Owner/Guarantor Phone:
Additional Owner/Guarantor SSN/TN:
Additional Owner/Guarantor DOB:
Additional Owner/Guarantor Ownership %:
Sole Proprietor, Individual Co-Applicant(s) or Individual Guarantor(s) must complete this section
*First Name:
*Last Name:
Middle Initial:
Date Of Birth:
Social Security Number:
*Phone:
*Email:
Housing Type:Own Home OutrightBuyingLeasing or RentingLives With Relatives
Time at Current Residence(Years, Months):
Address:
City:
State:
Zip Code:
Driver's License Number and State:
Previous Employer/Business:
Previous Employer/Business Address:
Previous Employer/Business Phone:
Monthly Income:
Secondary Income:
Secondary Income Source:
Mortgage Holder Name and Address:
Mortgage Holder:
Monthly Rent or Mortgage Payment:
Name and Address of applicant's nearest relative not in household:
Relationship:
Relative Phone:
Name and Address of applicant's non-related personal reference known over one year:
Relationship:
Reference Phone:
Ford Motor Credit Company Information
Have you previously done business with Ford Motor Credit Company?:YesNo
If yes, Acct#:
List other creditors you do business with
Name of Bank:
Branch:
Bank Phone:
Bank Contact:
Checking Account Number:
Savings Account Number:
Trade:
Trade City and State:
Trade Phone:
Trade Contact:
Trade Account Number:
Vehicle Information
Quantity:
New or Used:NewUsed
Year:
Make:
Model:
GVW:
Serial No/VIN:
Total Cap Cost:
Residual %:
Estimated Payment:
Installed equipment, body upfits or add-ons, etc more than $1000:
Total Cost of body upfits/add-ons
Will the vehicle be:Used in hazardous material transportingUsed in people moving servicesUsed in for-hire transportationPart of a sub-lease arrangement
SECURITY INFORMATION

Note:
*Alimony, child support, or separate maintenance income need not be revealed if you do not wish it considered as a basis for repaying the obligation.

For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained The Age of Majority. I authorize you to check my credit and employment history and to provide and/or obtain information about credit experiences with me.

If you have had credit problems in the past, don't worry. We will immediately endeavor to pre-qualify you for automotive credit. In order to finish our loan review, we need to review your credit history. It is very important to have your authorization.

Please read the below privacy notice, and select Accept to continue or Decline to cancel.
Accept, I have read the privacy notice above and give you authorization to check my credit
Decline, I do not give you authorization to check my credit
Review the information you have provided. If all of the information is accurate, press the submit button. Click submit one time only - it will take several seconds to securely submit your information