Online Credit Application
 
  Vendor Information
 Name Utility Fleet Sales
 Address 2801 N. Earl Rudder Frwy  City Bryan
 State TX Zip 77803
Contact George McMahon Telephone 979-778-0700
  Company Information
 Name
 Address  City
 State Zip
 Signer Title
 Telephone Nature of Business
 Type of Business
Sole Proprietorship Partnership Corporation LLC
  Personal Information (Officers, Partners, Guarantors)
 Name Title
 SSN % Ownership
 Address  City
 State Zip
 Home Phone How Long?

 Name Title
 SSN % Ownership
 Address  City
 State Zip
 Home Phone How Long?
  Company Bank References
 Bank Name Contact Officer
 How Long? Telephone
 Checking Savings
 Loan Acct    

 Bank Name Contact Officer
 How Long? Telephone
 Checking Savings
 Loan Acct    
  Trade References of Two Years or More
 Supplier Name
 Vendor Address  City
 State Zip
Contact Person Telephone

 Supplier Name
 Vendor Address  City
 State Zip
Contact Person Telephone

 Supplier Name
 Vendor Address  City
 State Zip
 Contact Person Telephone

By signing below, the undersigned individual as principal of and/or guarantor for the applicant, authorizes Utility Fleet Sales, its designee, assigns or potential assigns, to review his/her personal credit profile provided by national credit bureaus in considering this Application and for the purpose of the update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. By the execution of the lease agreement, I/We warrant that the information submitted herein is true and correct and hereby authorize that any bank, lending institution, supplier, person or consumer reporting agency should comply and furnish any information Lessor deems necessary in connection with this Application. It is understood that the security deposit is not refundable unless the application is rejected by Lessor. Further, I/We warrant it is understood that Lessor reserves the right to reverse any credit decision if the information contained herein is found to be incorrect, and I/We will indemnify Lessor for any and all costs incurred with this application for credit including any cost incurred in the placement or reservation of the intended leased equipment based on the information contained herein.
I Agree
 Name Today's Date