Lease Credit Application

Date(Required)

Untitled

Corporation

Partnership

Tax ID(Required)

Business Name(Required)

DOT#:(Required)

Physical Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Billing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Person to Contact:(Required)

Title:(Required)

Phone:(Required)

Principal of Business:(Required)

Title:(Required)

Year Business Started:(Required)

Bank Reference:

Name of Bank:(Required)

Bank Contact:(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Account Number:(Required)

Account Balance:(Required)

How Long With Bank:(Required)

How Account Handled:(Required)

Loans:

Secured:(Required)

Unsecured:(Required)

High Credit:(Required)

Current Balance:(Required)

Trade References:

Name of Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Contact

Name of Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Contact

Name of Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Contact

PLEASE READ: The undersigned hereby certifies the correctness of the above information, which is hereby given to Motor Trucks International & Idealease, for its use in considering credit accommodations requested; agrees payment of any credit purchase by the undersigned, their agent or employee, shall be governed by Washington State Law; agrees to pay a fiancé charge of one and one half percent (1.5%) per month, on any account balance unpaid for 30 days after the statement date; agrees to pay all attorney fees; collection agency costs, and any other costs incurred by Motor Trucks International & Idealease to enforce payment; Agrees that venues and jurisdiction to enforce payment will be in Snohomish County, Washington, and with regard to district or small claims matter, will be in the division of Snohomish County District Court; Agrees to give prior notice in writing to the sale or transfer of all or substantially all of the stock or assets of our business; if we fail to do so, then we shall remain fully liable for any unpaid merchandise received by the buyer or transferee of the business.

Signature(Required)

Title

Date

The undersigned is a principal of the applicant business, and hereby personally guarantees all debt and liability of the applicant to Motor Trucks International & Idealease, whether now or owing hereafter incurred. It is acknowledged that credit would not be extended to the applicant with my personal guarantee.

Signature(Required)

SSN:

YOU ARE HEREBY AUTHORIZED TO CONTACT ANY OR ALL OF THE ABOVE REFERENCES REGARDING CREDIT

Idealease Use Only:

Customer Since

Terms

High Credit

Now Owes

Last Purchase

Pays

Bank Reference:

Loans:

Trade References:

Idealease Use Only:

Links

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