CAG Engine Overhaul Financing Application


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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 Overhaul Financing?

Have you applied with us before?

If yes, who was your CAG representative?

Shop Name

Shop Location

Shop Phone

Shop Dealer Fax

What is the the estimated cost of your overhaul?

 

Your Information

Your Name:

Your Address:

Your City:

Your State:

Your Zip:

Your Home Phone:

Your Mobile Phone: (Required)

Your Social Security#:

Your Date of Birth:

Your Driver License#:

Are You Married?

Your Email Address: (Required)

How many years have you been in business?

How many years experience in your field?

Have you or anyone listed on this application been involved in any bankruptcy proceedings either business or personal?

If Yes Please Explain:

If You Have A Company Name, Please List It Here:

Business type:

Federal ID#:

DOT#:

MC#:

CAB Card#:

Driver License #:

Will You Have Additional Drivers?

Additional Driver Driver License#:

Additional Driver License State:

 

Co-Borrower Information (If Applicable)

Co-Borrower:

Co-Borrower Name:

Co-Borrower Address:

Co-Borrower City:

Co-Borrower State:

Co-Borrower ZIP:

Co-Borrower Phone:

Co-Borrower Social Security#:

Co-Borrower Date of Birth:

Co-Borrower Driver License #:

Is Co-Borrower Married?:

Tell Us About Your Truck

Truck Year:

Truck Make:

 

Truck Model

Truck Engine

Truck Mileage

How Much Money Do You Owe On Your Truck?

Name Of Current Or Previous Finance Company

Mortgage Information 

How Long At Current Address?:

Years

Months

Do You Rent or Own Your Home?

Do You:

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)

Please Provide The Following Information (If info not readily available, call us at 1-800-932-2274 and we will assist you)

 

Please e-mail the following to credit@cagcorp.com or fax to 610-558-4882

 

  • 6 Photos of your truck (Both Sides, Front & Back, Interior and Odometer)

  • Last 2 Years Of Tax Returns (Just first 2 pages and Schedule C)

  • Past 3 months of bank statements

  • Copy of title, front and back

 

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?

 

General Business Questions

How Many Trucks Do You Own?

Within What Radius Do You Haul?

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

 

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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CAG Truck Financing / Truck Engine Overhaul Financing https://cagtruckcapital.com
Signature Certificate
Document name: CAG Engine Overhaul Financing Application
Unique Document ID: 63fd0916699e97c96047ccfac13f29893597a96d
Timestamp Audit
June 5, 2018 2:07 pm ESTCAG Engine Overhaul Financing Application Uploaded by CAG Truck Capital - credit@cagcorp.com IP 216.164.186.47