Commercial Credit App

Dealer(Required)

Location (State, City, Zip)(Required)

Contact Name

Phone

Fax

Full Legal Name(Required)

Date of Birth (for Individuals)

DBA

Business Type(Required)

Propriotership

Corperation

Sub S

LLC.

Partnership

Other (Enter Below)

Tax Exempt (Enter Below)

Other Business

Tax Exempt Number

State-issued Organization # (Not Tax ID #)(Required)

State of Organization or State of Legal Residence for Individuals(Required)

SOC SEC # / TAX ID #(Required)

Gross Profit (Monthly Income)(Required)

Type of Business

Yrs in Business(Required)

Business Email(Required)

Business Website(Required)

Primary Legal/CEO Information

Primary Legal/CEO Address: Street(Required)

Primary Legal/CEO Address: City(Required)

Primary Legal/CEO Address: State(Required)

Primary Legal/CEO Address: Zip(Required)

Primary Legal/CEO Address: County

Billing Address: Street (if different from above)

Billing Address: City

Billing Address: State

Billing Address: Zip

Billing Address County

Fleet Manager Information

Fleet Manager Name

Fleet Manager E-Mail Address

Fleet Manager Phone #

Garage Street Address

Garage Address: City

Garage Address: State

Garage Address: Zip

Garage Address: County

Phone #

Fax #

Mobile Phone #

Contact Name

Owner/Guarantor #1

Owner/Guarantor #1 Name(Required)

Guarantor #1 Title(Required)

Guarantor #1 Address(Required)

Guarantor #1 PH#(Required)

Guarantor #1 SS# / TN#(Required)

Guarantor #1 Date of Birth(Required)

Guarantor #1 Ownership %(Required)

Owner/Guarantor #2

Owner/Guarantor #2 Name

Guarantor Title #2

Guarantor #2 Address

Guarantor #2 PH#

Guarantor #2 Ownership %

Guarantor #2 SS# / TN#

Guarantor #2 Date of Birth

Note: Sole Proprietor, Individual, Co-Applicant(s), or Individual Guarantor(s) must complete this section

Individual First Name, Middle Name, Last Name, & Suffix

Social Security Number

Individual Date of Birth

Home Phone

Home Type

Own Home Outright

Buying Home

Living with Relatives

Leasing/Renting

Lived there Yrs

Lived there Months

Drivers License No. & State

Previous Employer Business if less than 2 years

Previous Employer Phone Number

Previous Employer Address

Monthly Income

Secondary Income*

Source

*Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Mortgage Holder Landlord Name Address

Mortgage Holder / Landlord Phone

Mortgage Payt / Monthly Rent

Name Address of applicants nearest relative not in household

Nearest Relative Reference Home Phone

Relative Reference Relationship

Name & Address of applicant’s non-related personal reference

Non-Related Reference Relationship Home Phone

Non-Related Reference Relationship

List of other creditors you do business with:

Have you previously done business with Ford Motor credit company?(Required)

Yes

If yes, add Account #

Please use additional applications if more space is needed for multiple owner, guarantor, or applicant information.

Bank Name(Required)

Bank City & State(Required)

Bank Contact

Bank Telephone #(Required)

Bank Account #(Required)

Trade

Trade City & State

Trade Contact

Trade Telephone #

Trade Account #

Important information about establishing a relationship with Ford Credit

For the purpose of securing credit from Ford Motor Credit Company ("Ford Credit"), each of the parties signing below (the "Undersigned") certifies that the above information is true and complete. The Undersigned authorize Ford Credit to: (i) check their respective credit and employment histories, verify income, and provide and/or obtain information about their credit experience with Ford Credit, and (ii) at any time, sell, transfer, or assign any credit secured from Ford Credit and any or all servicing rights with respect thereto, or grant participations therein or issue securities with respect thereto.

The Undersigned each consent and specifically authorize Ford Credit, as it may deem necessary or desirable, to forward any documentation and information which Ford Credit now has or may hereafter acquire in connection with any transaction between any of the Undersigned and Ford Credit to any potential investor, rating agency, and any other party involved in the sale, transfer, assignment, securitization, or participation transaction involving any credit granted to the Undersigned.

Ford Credit may receive from and disclose to other persons, including credit reporting agencies, financial information about the Undersigned and information about each Undersigned's account and credit experience and each of the Undersigned authorizes any person to release to Ford Credit financial information about the Undersigned and credit experience and account information on the Undersigned. In addition, each of the Undersigned agrees that Ford Credit may receive from and disclose to any of its affiliates, any and all such information now or hereafter provided by the Undersigned to any of the foregoing entities, including without limitation present and future credit applications, financial statements and organizational documents. This is a continuing authorization for all present and future disclosures of financial information, account information and credit experience on the Undersigned made by Ford Credit, or any person requested to release such information to Ford Credit. The Undersigned each agree that a credit report bearing on such Undersigned's credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or way of living may be requested in connection with this application and future requests for credit. Upon request from any of the Undersigned, Ford Credit will advise such Undersigned, as applicable, whether a credit report was requested and if such a report was requested, Ford Credit, will inform such Undersigned, as applicable, of the name and address of the credit reporting agency that furnished the report.

The Undersigned each agree that Ford Credit, its affiliates, agents and service providers may monitor and record telephone calls regarding my account to assure the quality of service or for other reasons. Each of the Undersigned also expressly consent and agree to Ford Credit, its affiliates, agents and service providers using written, electronic or verbal means to contact the Undersigned. This consent includes, but is not limited to, contact by manual calling methods, prerecorded or artificial voice messages, text messages, emails and/or automatic telephone dialing systems. The Undersigned each agree that Ford Credit, its affiliates, agents and service providers may do so using any e-mail address or any telephone numbers the Undersigned provide, now or in the future, including a number for a cellular phone or other wireless device, regardless of whether the Undersigned incur charges as a result.

See end of this form for important information for California, Maine, Ohio, Rhode Island, Tennessee, and Vermont.

Applicant Signature(Required)

Applicant Title(Required)

Applicant Date(Required)

I intend to apply for joint credit:

Applicant Initials

Co-Applicant Signature

Co-Applicant Title

Co-Applicant Date

I intend to apply for joint credit:

Co-Applicant Initials

Guarantor Signature

Guarantor Title

Guarantor Date

Vehicle Information

Qty

N/U

Year

Make / Model

GVW

Serial / VIN #

Total CAP Cost

Residual %

Est Payment

Installed equipment >$1000.00

Total cost of body uplifts / add-ons $

Qty #2

N/U #2

Year #2

Make / Model #2

GVW #2

Serial / VIN # #2

Total CAP Cost #2

Residual % #2

Est. Payment #2

Installed equipment >$1000.00 #2

Total cost of body uplifts / add-ons $ #2

Trade Detail

Qty of Trade

Trade Year

Trade Make / Model

Trade VIN #

Dealer Allowance

Leinholder

Payoff Amount

Will the Vehicles Be

Used in Hazardous Material Transportation

Used in People Moving Services

Used in For-Hire Transportation

Part of a Sub-Lease Arrangement

Other*

*Note Specific Use Program or Other Detail

Terms

# of Months

# of Adv. Pmts.

Skippable Months

Cash Price $

Net Trade -

Cash Down -

FET +

Other Up Front Tax +

Tags & Title +

Cap Cost $

Estimated Payment $

Post Custom Field

California Disclosure

Applicant, if married, may apply for a separate account.

Maine Resident

If your credit application is approved and you finance the purchase of your motor vehicle through Creditor, you will be required to insure the vehicle against loss or damage. Creditor requires collision coverage and comprehensive coverage or fire and theft coverage. In addition, if this application is for a lease, Creditor will also require you to obtain liability insurance.

You have the option to select an agent or broker of your choice, whether or not affiliated with Creditor. Obtaining insurance from a particular agent or broker does not affect credit decisions by Creditor, unless the insurance product selected violates the terms of your contract for the purchase or lease of the motor vehicle.

Ohio Disclosure

The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Rhode Island Resident

A Credit Report may be requested in connection with this application for credit. Vehicle insurance may be obtained from a person of your choice.

Tennessee Resident

You must maintain insurance during the term of the contract. You must give the Creditor evidence of this insurance. The amount and type of insurance must be acceptable to the Creditor. YOU MAY CHOOSE THE PERSON THROUGH WHOM ANY INSURANCE IS OBTAINED.

Vermont Resident

By signing this credit application, Applicant consents to your obtaining a credit report for the purposes of evaluating this application and to obtain subsequent credit reports, in connection with this transaction, for the purpose of reviewing the account, taking collection action on the account or for any other legitimate purpose associated with the account.