NTS Trailer Services
13333 Main St. Lemont, IL 60439	Phone: 630-243-6354 Fax: 630-243-6392

BUSINESS
CREDIT APPLICATION

Legal Business Name:

Business Type:

C-Corp	S-Corp
LLC	LP
General Partnership

Business Address:

City:

State:

Zip:

Federal Tax Id:

ICC# or MC#:

Phone:

Fax:

Business Start Date:

E-mail Address:

Principle 1 Name:

Social Security:

% of Ownership:

Phone #:

Home Address:

City:

State:

Zip:

Birthdate:

Principle 2 Name:

Social Security:

% of Ownership:

Phone #:

Home Address:

City:

State:

Zip:

Birthdate:

Bank Name:

Account #:

Bank Phone:

Fax:

Person To Contact:

Name Of Equipment Lenders:	Account #:	Bank Phone:	Person To Contact:
1)
2)

Number of years as Driver:

Years as Operator #:

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

Bankruptcy: Yes No # Date: # Chapter:

Ever had Goods Repossessed: Yes No Date:

If Yes, Explain:

Guarantor:

Address:

City:

State:

Zip:

Birthdate:

SSN #:

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 NAME 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.

Signature:

Title:

Date:

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 RESPECTES 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, A GUARANTOR, HEREBY AUTHORIZES AND CONSENTS TO NTS TRAILER SERVICES, INC. REQUESTING MY CREDIT REPORT.

Signature Of Guarantor:

Date: