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Credit Application Form
Available Finance Options Include Long-term Lease and/or Lease-purchase
PO Box 1299 Apply OnLine or by FAX 866-210-2874
Lebanon, TN 37087  BusCentral.com
Purchase & Sale - Custom Conversion - Long-Term Lease-Purchase - Competitive Rates
Financing through BusCentral.com!
Found the coach you want but don't have financing in place?  Whether you are
financing a single bus or a fleet you have come to the right place!
Call us TOLL FREE at:   866-210-2874  or locally at 615-444-2874 to talk about
financing  directly through BusCentral.com at highly competitive rates   !
Apply OnLine !
Simply fill out the on-line Application and click the Submit Button at the bottom.
Credit Application
All input will be carefully considered.
Required Fields are in Blue.
Legal Business Name
 Telephone Contact
 Cell or Alternative
 Email and/or FAX
Street or Mail Address
 City
 State
 County
 Zip Code
Type of Business
 US DOT NO.
 MC/MX NO.
 Age of Business
 Fed. Tax Number
Location of Equipment (Street)
 City
 State
 County
 Zip Code
Business Structure -- Ownership
Principal's Name
 Title
 %Owner
 Home Phone
 Social Security No.
Home Address (Street)
 City
 State
 Zip Code
 Driver Lic. No.
Rent
Own
Principal's Name 2
 Title
 %Ownership
 Home Phone
 Social Security No.
Home Address (Street) 2
 City
 State
 Zip Code
 Driver Lic. No.
Rent
 Own
Proprietorship
Partnership
 S_Corporation
 LLP
 DBA
C_Corporation
LLC
Banks
Bank
 Branch
 Telephone
Email and/or FAX
Account Name
 Checking Account No.
 Current Balance
 Contact Person
Bank 2
 Branch
 Telephone
 Email and/or FAX
Account Name 2
 Checking Account No.
Current Balance
 Contact Person
Finance Companies
Finance Company
 Account No.
 Telephone
 Contact Person
Supplemental Information:
Current Fleet Data (Attach Additional List if Needed)
Make
Year
 Model
 Owned
 Lease
 Lien Holder
Supplemental Information:
Insurance Information
Company Name
 Agent Name
 Telephone with Area Code
Reason for Additional or Replacement Coach(es)
Please Explain  (EG: contract, new business, etc.)
Information to Include with Application
Yes
No
 Outstanding Tax Liens, Suits, Judgements ?
 No
Own a Secure Lot or Garage ?
 Yes
Ever Filed for Bankruptcy ?
 Yes
No
 No
Yes
Have a Mechanic on the Premises ?
Yes
No
 No
Any  Vehicles or Equipment Repossessed ?
Will Coach(es) Ever be Subleased ?
 Yes
>> 3 Years Corporate Tax Returns and Financial Statements      >> 3 Years Personal Tax Returns      >> Personal Financial Statement
Tax and Personal Financial Information may be Copied and Faxed or sent as E-mail Attachments to BusCentral.com
Authorization

    I hereby authorize BUSCENTRAL.COM or any credit bureau or other investigative agency employed by BUSCENTRAL.COM
    to investigate the references herein listed or statements or other data obtained from me or from any other person
    pertaining to my credit and financial responsibility.  Submission of this form will be considered such authorization unless
    otherwise noted.

    On  submission of the form processing will begin immediately.   You may be contacted  to confirm receipt, clarify any
    confusion, or to request needed information that may have been overlooked.

    X______________________________________

    SIGNATURE / TITLE                                                                     Today's Date________________________