Loan Application
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LOAN APPLICATION

First Name Middle Initial Last Name SS Number
E-Mail Address Mother’s Maiden Name
Address City State Zip Date of Birth
Home Phone Time at current Address   Housing Payment
Rent Own
Current Employer   Position Gross Income
Monthly
Yearly
Time at Employer
Business Phone   Employer Street Address City State Zip
Driver’s License # and State
* Other Income (Including Spouse)
 
Weekly Monthly Yearly
Source of Income
Have You ever declared Bankruptcy?
   Yes    No
If so, when?
Processing Fee
As a National Finance and Benefits Company, Truck Loan Solutions (TLS) has set a Processing Fee schedule for it’s applicants. Upon applying for a loan, you agree to pay an processing fee of $49.95. This is a non refundable fee and does not guarantee this we will get you financed for your equipment. This processing fee covers the cost for us to get you a loan. The cost is the same if we are successful in getting you a loan or not. As such, you have provided TLS with the following payment information to process your application. For security purposes, you will need to process your payment with PayPal. You must  electronically sign and submit this application in order for TLS to start working on your loan.
I agree to the terms of the processing fee
 
Authorization to Release Credit Information
By my signature, I authorize “TLS”: (and/or their authorized Lenders) to run a credit report and verify the information I have provided.   I understand that “TLS” will be acting as an agent on my behalf, and therefore dose not approve, deny, set the rate and terms, guarantee loan approvals or discriminate against anyone for any reason.   As a part of this search, I fully understand my credit request may be presented to multiple credit issuing companies and/or search companies including (but not limited to) Banks, Finance Companies, Credit Card Issuers, and “The Lending Tree”.  I agree to “hold harmless” “TLS” from any and all legal actions that may come as a result of a disputed matter with my Service Provider or Vendor. 
PLEASE DO NOT SIGN THIS APPLICATION IF YOU DON’T UNDERSTAND IT OR THE FEE!
I understand and agree to the term of the authorization

ELECTRONIC SIGNATURE OF APPLICANT
DATE:  
Signed at 3:25 PM on 3/12/2008
Amount Requested  
 
I agree to the terms of this agreement
 
 

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