Loan Application

Adress: 5045 South Desert Blvd El Paso,TX 79932

Phone: (915)317-5500 Fax: (210)714-0902

Email: [email protected] Website:

First Name

Last Name

Email *

Phone *

Social Security No.

Other Names For Credit

Address

Street Address

City

State

Country

Postal Code

Residence Type

Own

Rent

No. Dependents

Home Value

$

Mortgage Holder/Landlord Name and Adress

Mortgage/Rent Pay

$

Years (at residence)

Employer Name

Occupation

Employment Number

Employer Address

Employment Income Per Month

$

Total Income Per Month

$

Tax Form

W2

1099

How would you rate your credit

Great

Good

Below Average

Declared Bankruptcy

Yes

No

Additional Information

Choose Date

Signature

Clear

Signature

By signing below, you certify that the information you have provided within this loan application is true and complete. You also authorize Transportation Equipment Sales to confirm the information about you and your account to credit reporting agencies and others who are allowed to receive it. you authorize and instruct Transportation Equipment Sales to request and receive credit information about you form a credit reporting agency and third party.

Current Driver License

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Full Name (CA)

Email (CA)

Date of birth (CA)

Social Security No. (CA)

Phone Number (CA)

Residence Type (CA)

Own

Rent

No. Dependents (CA)

Home Value (CA)

$

Mortgage Holder/Landlord Name and Adress (CA)

Mortgage/Rent Pay (CA)

$

Years (at residence) (CA)

Employer Name (CA)

Occupation (CA)

Employment Number (CA)

Employment Income Per Month (CA)

$

Total Income Per Month (CA)

$

Tax Form (CA)

W2

1099

Declared Bankruptcy (CA)

Great

Good

Below Average

Declared Bankruptcy (CA)

Yes

No

Additional Information (CA)

Choose Date (CA)

Signature (CA)

Clear

Signature

By signing below, you certify that the information you have provided within this loan application is true and complete. You also authorize Transportation Equipment Sales to confirm the information about you and your account to credit reporting agencies and others who are allowed to receive it. you authorize and instruct Transportation Equipment Sales to request and receive credit information about you form a credit reporting agency and third party.

Current Driver License (CA)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

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