Equipment Finance Application

Which TAC account manager are you working with? *

If you've been talking with someone at TAC, select their name so your file goes straight to them. If this is your first contact, select Unassigned.

— Select your account manager — Spencer Camron Andy Logan American Fleet Exchange (Alex) Unassigned

Is there a co-applicant on this loan?

Check this box if a second person (such as a spouse or business partner) will be a guarantor. Otherwise, leave it unchecked.

Applicant's Name *
Applicant's Email Address
Business Name and Address
Corporation, LLC, or DBA that is applying for financing. Business Phone Number
EIN
Employer Identification Number assigned by the IRS Percent Company Ownership
Applicant's Social Security Number *
Applicant's Birthday *
Applicant's Mobile Phone Number *
Applicant's Home Phone Number *
Applicant's Address *
How Long at this Address (Years) *
Home Ownership *
Please select an option Own Rent Other Former Address (if less than 5 yrs at present)
Marital Status *
Please select an option Single Married Divorced Widowed Separated

Has either applicant ever filed bankruptcy? *

Yes No

Has either applicant ever had any item repossessed? *

Yes No

Is either applicant a defendant in any legal action? *

Yes No

Is this a trucking company? *

Check Yes if the equipment is a commercial truck or you operate a trucking business. Check No for construction, manufacturing, medical, landscaping, or other non-trucking equipment.

Yes No

Please provide the company you will be working for with this truck. Include address, contact, and phone number.

Equipment Usage

Check all that apply.

Local Regional Long Haul

What are you hauling?

Dry goods Reefer Flat Bed Hazardous Other

Do you have your own authority? *
Please select an option Yes No

By checking the box below, the applicant(s) agree(s) to all of the following:

• The statements on this application are true, correct, and accurate to the best of my (our) knowledge.

By signing below, each undersigned individual who is either a principal of the finance / lease applicant herein or a personal guarantor of the applicant's obligations, hereby authorizes Lender/Lessor or its Designee (and any Assignee or Potential Assignee thereof) to request and review applicant's credit report for the purposes of considering this application. A photocopy or facsimile of this authorization shall be valid as the original. In addition to authorizing review of applicant's credit report from any national credit bureau, the undersigned also authorizes applicant's financial institutions and creditors to release credit information required by Lessor/Lender or its Designee (and any Assignee or Potential thereof). Finally, applicant authorizes Lessor/Lender to conduct a general background check of applicant or applicant's principals.

Applicant Signature *

Sign in the box below using your mouse, trackpad, or finger (on a touchscreen). Then print your name underneath.

Applicant Printed Name *

Co-Applicant Signature *

Co-applicant signs below.

Co-Applicant Printed Name *

Would you like to attach documents? *

If your account manager has asked you to attach bank statements, a buyer's order, or tax returns — choose Yes. You can also email documents separately after submitting.

Yes No