Phone: 610.558.3800
Fax: 610.558.4882
Email: [email protected]
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?
Which CAG Truck Specialist Are You Dealing With?
Shop Name
Shop Contact Person
Shop Location
Shop Phone
What work is needed to your engine?
What is the estimated cost of your overhaul?
How Much Money Will You Put Down?
Would you like to be contacted on how you can save on your truck insurance?
Tell Us About Your Truck
Truck Year:
Truck Make:
Truck Model
Truck Engine Make/Model
Truck Mileage
How Much Money Do You Owe On Your Truck?
Name Of Current Or Previous Finance Company
Current Monthly Payment
Have you done any work on your emissions system?
Your Information
Your Name:
Your Address:
Your City:
Your State:
Your Zip:
Your County:
Your Mobile Phone: (Required)
Your Social Security#:
Your Date of Birth:
Your Email Address: (Required)
Company Information
If You Have A Company Name, Please List It Here:
Company Address:
Company City:
Company State:
Company Zip:
How many years have you been in business?
How many years experience in your field?
Business type:
Mortgage Information
Do You Rent or Own Your Home?
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 [email protected] or fax to 610-558-4882
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6 Photos of your truck (Both Sides, Front & Back, Interior and Odometer)
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Last 2 Years Of Tax Returns (Just first 2 pages and Schedule C)
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Past 3 months of bank statements
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Copy of title, front and back
Current Employment Information
Who Is Your Current Employer?
Current Employer Phone#:
Current Employer Contact Name:
How Long Have Your Worked Here?
What is your annual income from this job?
How many owner operators does this company employ?
General Business Questions
How Many Trucks Do You Own?
How Long Have You Owned This Truck?:
Approximately How Much Did You Pay For Your Truck?:
How Much Will This Truck Earn For You?:
Is Your Truck In Your Company's Name?
Please Rate Your Mechanical Ability1 (1 being least experienced) To 5 (5 being most experienced)
Have you or anyone listed on this application been involved in any bankruptcy proceedings either business or personal?
If Yes Please Explain:
Comments
At CAG, we listen to the customer's whole story. Please tell us your credit story and please be as specific as possible.
Customer's Authorization For Release:
The undersigned certifies that the above information given for credit purposes is true and correct. The undersigned acknowledges that this or any credit report is to be used for a commercial transaction only and not for any consumer credit purposes. 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.
