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CAG Credit Application - Master

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Phone: 610.558.3800
Fax: 610.558.4882
Email: credit@cagcorp.com

4 Hillman Drive
Suite 102 to 104
Chadds Ford, PA 19317

Fill out complete application and sign. Our funding pros will get to work for you immediately upon receipt!

Where Did You Hear About CAG?

Have you talked to anyone at CAG previously?

Yes

If yes, who was your CAG representative?

What would you like to finance?

Truck

Overhaul

Transaction type:

Overhaul

Private Sale

Dealer Purchase

Seller / Shop Name

Seller / Shop Phone

Seller / Shop Dealer Fax

Tell us about what you are purchasing

Vehicle Year

Vehicle Make

Vehicle Type

Mileage

What is the cost?

How much money are you able to put down? (MINIMUM 20% CASH OR TRADE ):

Your Company Information

Company Name:

Company Mailing Address:

Company Physical Address

Company Equipment Location:

Company City:

Company State:

Company Zip:

Company Business Phone:

Your Home Phone:

Your Mobile Phone: (Required)

Other Phone Number:

Company Fax:

Your Email Address: (Required)

How many years have you been in business?

How many years experience in your field?

Business type:

Limited / Corp

Partnership

Proprietorship

Federal ID#:

DOT#:

MC#:

CAB Card#:

Driver License #:

Will You Have Additional Drivers?

Yes

Additional Driver Driver License#:

Additional Driver License State:

Borrower Information

Your Name:

Your Address:

Your City:

Your State:

Your Zip:

Your County:

Your Phone#:

Your Social Security#:

Your Date of Birth:

Your Driver License#:

Are You Married?

Yes

Mortgage Information

How Long At Current Address?:

Years

Months

Do You Rent or Own Your Home?

Do You:

Rent

Own your home?

Mortgage Company

Landlord

Mortgage Company or Landlord Name:

Mortgage Company or Landlord Phone:

What Is The Value Of Your Home? (if you own your home)

What Is Your Mortgage Balance: (if you own your home)

Bank Accounts (for faster processing please provide 3 months bank statements)

Your Bank Name:

What Are Your Monthly Payments?

Account Type:

Type

Checking

Savings

Bank Phone#:

Secondary Account Payment Per Month:

Account Type:

Type

Checking

Savings

Current Employment Information

Who Is Your Current Employer?

Current Employer City / State:

Current Employer Phone#:

Current Employer Contact Name:

How Long Have Your Worked Here?

What is your annual income from this job?

Future Employment Information

List Future Employment (if applicable)

Future Employment City / State:

Future Employment Phone:

Future Employment Contact Name:

Expected Income From Future Job:

Previous Employers

Please list past Employer:

Past Employer City / State:

Past Empoyer Phone:

Past Employer Contact Name:

How Long Did You Work At This Job?

What Was Your Annual Income?

General Business Questions

Will this be your:

First

Additional

Replacement Unit

How Many People Do You Currently Employ?

What Products Do You Haul?

Within What Radius Do You Haul?

How Much Will This Truck Earn For You?

If required, could any of your trucks be used for additional collateral? Yes No

If yes:

Additional Collateral Truck Year:

Additional Collateral Truck Make:

Additional Collateral Truck Model:

Additional Collateral Truck Type:

Suppose 2 months from now your engine blew, how would you come up with the necessary funds to pay for repairs?

Please List Your Current Truck Repair Facility Information:

Do You Still Owe Money On The Additional Collateral Truck?

Yes No

Have any of the above individuals listed in any above section been involved in any bankruptcy proceedings either business or personal?

Yes

If Yes Please Explain:

Please Rate Your Mechanical Ability1 (1 being least experienced) To 5 (5 being most experienced)

Present Trucks

Present Truck Year:

Present Truck Make:

Present Truck Model

If Payment Owed On Present Truck, Please List Bank:

Supplier references (places where you purchase supplies, tools, fuel, etc. for your business)

Supplier 1 Name:

Supplier 1 Phone#:

Your Account#:

Supplier 1 Contact Name:

Supplier 2 Company:

Supplier 2 Phone#:

Your Account Number:

Supplier 2 Contact Name:

Relatives (Please list two not living with the applicant)

Relative #1 Name:

Relative #1 Address:

Relative #1 Phone#:

Relative #1 Relationship:

Relative #2 Name:

Relative #2 Address:

Relative #2 Phone#:

Relative #2 Relationship:

Comments

At CAG, we listen to the customer's whole story. Please tell us your credit story and please be as specific as possible.

Customers Authorization For Release:

The undersigned certifies that the above information given for credit purposes is true and correct. The undersigned also authorizes CAG Truck Capital and/or it’s associates any access to credit bureau or other investigation agency to investigate the references, statements or data listed in or accompanying this application as is necessary. The undersigned authorizes all parties contacted to release credit and financial information as part of said investigation. By signing below, I authorize CAG Truck Capital (“CAG”) to forward my contact information to CAG’s marketing partners, who may contact me regarding products and services that may be of interest to me in my business. I understand that I am under no obligation to purchase any such products or services and it will have no effect on the credit approval process. Such marketing partners are independent businesses and I agree that CAG shall have no liability for any products or services provided to me by such third parties.

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

October 17, 2018 1:44 pm EDT

CAG Credit Application - Master Uploaded by CAG Truck Capital - credit@cagcorp.com IP 24.229.195.2

October 17, 2018 1:44 pm EDT

Document signed by Steve Haman - steve@dvmginc.com IP 216.164.186.47