.
If you would like to apply for credit at Dallas Truck Sales/Repair for one of our vehicles for sale, please complete the
following form.

If you would prefer to download our credit application to your desktop to print out, then fill out, click here
to download the file. It is formatted in Excel, so you can edit the file (fill it out) then save it to your desktop when completed.

Once you've completed your application, we will review it upon receiving it.
Applicant/Guarantor's Full Name
First, Middle Initial & Last)
Social Security Number
Date of Birth:
Complete Company Name:
(INC, LLC or DBA)
Complete Federal Tax ID:
State corporation is filed in:
Complete business mailing
address:
County:
Physical business address:
County:
Office phone number:
Cell Phone:
Are you a home owner:
Years at Current Residence:
Mortgate/Rent Payment:
FAX Number:
Email address:
Applicant/Guarantor's Nearest
Relative Info - must provide
Name, Full Address &
Relationship:
Relative's phone number:
Have you filed bankruptcy in
the past 7 years?
Ever had a repossession?
If so, year of repossession:
Do you have any tax liens?
Please answer yes or no:
If so, amount of liens:
FIRST TIME BUYER & OWNER OPERATOR INFORMATION (OPERATES 1-2 TRUCKS)
Total years of driving
experience:
Total years of owner/operator:
CDL Number:
State CDL issed in:
Do you have your own authority?
Type of goods you will haul?
Type of registration needed; enter
Apportioned or Combination:
Will you have a trade in?
Enter MC-ICC# or US-DOT#
Will you be driving this truck?
Enter yes or no here:
Type of operator? Enter either Regional
(Vocational) or Over The Road:
FLEET COMPANY INFORMATION (OPERATES 3+ TRUCKS)
Total Number of years in Business:
Gross business revenue:
Reason for this request, enter one:
Adding Units or Replacing Units
Number of Power Units operated?
Number of Trailers operated?
Number of owner operators
employed (if any)
MC-ICC# or US-DOT#
Are financial statements available?
Type of goods you will haul:
Type of registration needed; enter
Apportioned or Combination:
LAST 5+ YEARS OF EMPLOYMENT/TOP 3 CUSTOMER HAUL REFERENCES:
Enter all items in the space. Continue typing if you
need more space: Company Name, Phone Number,
# of Years, Contact Person, % of Annual Revenue
Enter all items in the space. Continue typing if you
need more space: Company Name, Phone Number,
# of Years, Contact Person, % of Annual Revenue
Enter all items in the space. Continue typing if you
need more space: Company Name, Phone Number,
# of Years, Contact Person, % of Annual Revenue
COMMERCIAL EQUIPMENT CREDIT HISTORY (First time buyers fill in 'NA'.)
Enter all items in the space. Continue typing if you
need more space: Finance Company or Bank
Name, Phone Number, Item Financed (year, make,
model), Account Balance?
Enter all items in the space. Continue typing if you
need more space: Finance Company or Bank
Name, Phone Number, Item Financed (year, make,
model), Account Balance?
Enter all items in the space. Continue typing if you
need more space: Finance Company or Bank
Name, Phone Number, Item Financed (year, make,
model), Account Balance?
Any Comments:
(not a required field)
Note to customer: once you have completed all of the required
fields and hit the 'submit' button, you will taken to a new window
that shows that your email was sent along with the information you
have provided.
APPLICANT/GUARANTOR & COMPANY INFORMATION:
note: if you need additional space, just continue to type in the field desired.