K. Neal International Trucks - Business Application

Maryland: Hyattsville (HeadQuarters) and Gaithersburg

Virginia: Lorton

International Finance Group

The application below must be completed in it's entirety. By completing this form you are agreeing to terms and conditions outlined below. Your submission will be reviewed by a member of our finance department.

Personal Credit Application

TO NAVISTAR FINANCIAL CORPORATION, NAVISTAR LEASING COMPANY AND/OR HARCO LEASING COMPANY FOR THE PURPOSE OF OBTAINING CREDIT FROM YOU, OR AS A BASIS OF CREDIT FOR FUTURE BUSINESS, THE FOLLOWING COMPLETE STATEMENT IS MADE: IT IS AGREED THAT I / WE WILL NOTIFY YOU PROMPTLY, SHOULD THERE BE ANY MATERIAL CHANGE IN MY FINANCIAL CONDITION.

Applicant Name:

Date of Birth:

Drivers License#:

Social Security #:

DBA:

County:

Phone #:

Home Address:

How Long?

City, State, Zip:

Rent:

Own:

Former Residence (if less than three years):

How Long?

Fax #:

No. of Dependants:

Marital Status:

	Married		Separated
	Divorced		Unmarried

Email Address:

Equipment Garaging Locations:

City, State, Zip:

CoSigner Type:

Social Security #:

Date of Birth:

Phone #:

Home Address:

City, State, Zip:

Spouse Employed by:

Employer Address:

Phone #:

Position:

No. of Yrs:

Annual Salary:

Name of nearest living relative not living with you:

Home Address:

Relationship:

Phone #:

Other Income:

Source of Income:

Products Hauled:

Avg. Annual Miles:

Yrs Experience as driver:

As Owner:

Annual Revenue:

Revenue Based on:

Per Mile:

% of Revenue:

Per Load:

Contract Lease with:

Contact Name:

Phone #:

Address:

Currently Owned:
# of Trucks/Tractors:		# of Trailers:		# of Other:

Name of Equipment Lenders:	Account #:	Phone #:	Contact Name:
1.
2.

Ever Filed Bankruptcy?

Yes

Date:

Chapter:

Ever Had Goods/Vehicles Repossessed?

Yes

Date:

If YES, Describe Circumstances:

I / WE ACKNOWLEDGE RECEIPT OF NOTICE IN COMPLIANCE WITH THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT IF APPLICABLE. THE FOREGOING APPLICATION HAS BEEN CAREFULLY READ (BOTH PRINTED AND WRITTEN MATTER) AND IS IN ALL RESPECTS COMPLETE, ACCURATE AND TRUTHFUL. THIS APPLICATION IS GIVEN FOR YOUR SOLE USE AND INFORMATION, AND IS NOT TO BE DIVULGED TO OR USED BY ANYONE ELSE PROVIDED, HOWEVER, THAT THE UNDERSIGNED HEREBY AUTHORIZES THE ABOVE NAMED BANK(S), TRADE AND/OR OTHER CREDIT REFERENCE(S) TO RELEASE SUCH INFORMATION AS IS NECESSARY TO ESTABLISH CREDIT WITH YOU.

I / WE FURTHER REPRESENT THAT SAID EQUIPMENT SHALL BE USED FOR A COMMERCIAL PURPOSE AND SHALL NOT BE USED FOR ANY UNLAWFUL PURPOSE.

Initials of Applicant:

Date:

initials of Co-Applicant:

Date:

K. Neal International Trucks, Inc.

5000 Tuxedo Rd. Hyattsville, MD 20781