JX | JX Business Truck Purchase Credit Application

JX Financial
925 Walnut Ridge Drive, Suite 150 | Hartland, WI 53029
Phone 800-448-2262
Fax 262-369-0480

JX Business Truck Purchase Credit App

Application for businesses to get truck purchase credit from JX

By marking this box, I consent to do business with JX
Do you have a trade reference document?*
You may upload your trade reference document here and forgo the rest of the application:
Max. file size: 200 MB.
Business Credit Application
Today's Date
MM slash DD slash YYYY
Sales Rep
Dealer Location
Street Address Address Line 2 City State ZIP Code
F&I Rep
Legal Business Name
FEIN
Phone
List Owners, Officers, or Members
Owner 1
SSN
Title
Address
Street Address Address Line 2 City State ZIP Code
% Ownership
Owner 2
SSN
Title
Address
Street Address Address Line 2 City State ZIP Code
% Ownership
Owner 3
SSN
Title
Address
Street Address Address Line 2 City State ZIP Code
% Ownership
List Top 3 Customers
Company Name
Address
City State
Contact Name
Contact Phone
Goods Hauled
Company Name
Address
City State
Contact Name
Contact Phone
Goods Hauled
Company Name
Address
City State
Contact Name
Contact Phone
Goods Hauled
Driver Information
Will you be driving this equipment?
# of Years as an Owner Operator
# of Years as a Company Driver
Do you have your own authority?
Authority #
Do you team?
Driver's Name
Address
Street Address Address Line 2 City State ZIP Code
# Years Experience
Driver's License Number
State
Expiration Date
MM slash DD slash YYYY
Legal Actions
Have you ever filed bankruptcy?
If so, please provide the date filed
MM slash DD slash YYYY
Have you had any tax liens imposed on you?
Has any of your property been repossessed?
Are there any legal judgments against you?
Do you have any pending lawsuits?
Current Equipment Owned or Leased
Description, year, and make
Where Financed?
Contact Name
Contact Phone
Balance Owed
Description, year, and make
Where Financed?
Contact Name
Contact Phone
Balance Owed
Description, year, and make
Where Financed?
Contact Name
Contact Phone
Balance Owed
# Trucks Owned or Leased
# Trailers Owned or Leased
# Company Drivers
# Owner Operators
Garage Address
Street Address Address Line 2 City State ZIP Code
Equipment to be Purchased
Description
Stock Number
Sale Price
Is this additional or replacement equipment?
Reason for adding equipment?
Requested Down Payment
Trade Description
Privacy Waiver Signature
The undersigned credit applicant, principal of a credit applicant, or guarantor of a credit applicant, provides written authorization to JX Financial, Inc., its agents and affiliates, in conjunction with a commercial loan or lease application. JX Financial, Inc. is authorized to obtain credit bureau reporting, credit and employment history, insurance information, and any and all further information necessary to process the application for credit subsequently for the purpose of update, renewal, or the extension of such credit or additional credit and for reviewing and collecting any resulting accounts. JX Financial, Inc. may also release any information obtained to its affiliates, lenders, participants, prospective purchasers or assigns, provided that such disclosure should only be for the purpose of evaluating the application for credit, or the update, renewal, or the extension of such credit or additional credit, or for reviewing and collecting any resulting accounts. A .pdf or facsimile copy of this authorization shall be valid as the original. I understand that credit inquiries have the potential to impact my credit score. I acknowledge this authorization relates to commercial financing and is not for any household, family, or consumer purpose. Facsimile photocopy or .pdf copies of this authorization may be treated as originals.
Applicant Name
Signature
Please provide authorized personal signature here
Job Title
Date
MM slash DD slash YYYY
Email
Are you interested in receiving updates on any of the following?
- New/Used Truck Specials
- Parts/Service Specials
- Lease/Rental Specials
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JX Business Truck Purchase Credit App

Business Credit Application

List Owners, Officers, or Members

List Top 3 Customers

Driver Information

Legal Actions

Current Equipment Owned or Leased

Equipment to be Purchased

Privacy Waiver Signature