Credit Application Company Information Company Name DBA Fed Tax ID No dash Business Phone Entity TypePlease select...CorporationLLCLLPMunicipalityNonprofit 501(c)(3)PartnershipS CorpSole ProprietorshipTrust IndustryPlease select...AmusementArbor / Tree ServiceCampground / RVCleaning and RestorationConstruction - CommercialConstruction - RemediationConstruction - ResidentialConstruction - RoadwayConstruction - Water & Storm DrainsExcavationFedEx GroundFedEx LinehaulLandscapePest ControlPlumbingPortable SanitationPumping ServicesRental - Party & EventRental - General Rental CenterRental - Heavy ConstructionSeptic ServicesSurveying / GeospatialToolsTowingTrenchless & TrenchingTrucking - LocalTrucking - Long Distance FreightWastewater / Sanitation Services Physical Address Physical City Physical StatePlease select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Physical Zip/Postal Code Is mailing address same as physical company address:YesNo Mailing Address Mailing City Mailing StatePlease select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Mailing Zip/Postal Code Mailing Address Mailing City Mailing State Mailing Zip/Postal Code State of IncPlease select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Business Start Date (ex. 01/01/1990) What is your estimated annual revenue (total sales before any expenses)?Please select...$0 - $100,000$100,001 - $200,000$200,001 - $300,000$300,001 - $400,000$400,001 - $500,000$500,001 - $750,000$750,001 - $1,000,000$1,000,001 - $3,000,000$3,000,001 - $5,000,000$5,000,001 - $10,000,000$10,000,001+ What was your net profit (after expenses) for last year (best guess)? Please select...$0 - $100,000$100,001 - $200,000$200,001 - $300,000$300,001 - $400,000$400,001 - $500,000$500,001 - $750,000$750,001 - $1,000,000$1,000,001 - $3,000,000$3,000,001 - $5,000,000$5,000,001 - $10,000,000$10,000,001+ Tell us about your business finance requestEquipment to be Purchased Equipment Description Equipment ConditionPlease select...NewUsed Equipment Price$ Equipment Vendor Page 2Guarantor or Primary Contact Information First Name Last Name Email Address Mobile Phone Title Preferred Method of ContactPlease select...Phone CallE-mailText Message Is company address same as home address?YesNo Home Address Home City Home StatePlease select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Home Zip Code Home Address Home City Home State Home Zip Code Social Security Number No dashes. Date of Birth (ex. 01/01/1990) Ownership % % Do you have additional guarantors? Please select...YesNoAdditional Guarantor InfoIf you have more than 1 additional guarantor, please contact your representative. First Name Last Name Email Address Mobile PhoneSupplemental Information How will this additional equipment be used? Please select...Replace existing piece(s)Expansion piece(s) How many employees do you have? Current fleet size in operation for this company? List total number of pieces of equipment currently in use for applying business Total number of P&D (Ground & Home Delivery) vehicles? Please list total number of trucks owned by the applying organization. Total Number of Linehaul tractors? Please list total number of trucks owned by the applying organization. Are you a licensed contractorPlease select...YesNo Are you ISA certified?Please select...YesNo How many crews do you run? FedEx Information FedEx Contractor ID Please mark all parcel delivery models you contract for: FedEx GroundFedEx Linehaul What year did you start your parcel business? FedEx Terminal Information Terminal Name Terminal Number Terminal Address Terminal City Terminal StatePlease select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Terminal Zip CodeFinancial Information Do you have any tax liens? Please select...Yes - BusinessYes - PersonalNo Have you ever filed for bankruptcy? Please select...Yes - Business BankruptcyYes - Personal BankruptcyNo When was the bankruptcy filed? (Year only)File UploadTo receive quickest turnaround time please attach the most recent 3 months of bank statements. Bank Statements Driver License (to help expedite documentation and funding) FedEx BadgeAcceptance How did you hear about us?Please select...AdvertisementColleague / FriendContacted by RepresentativeCurrent CustomerInternet SearchTrade ShowVendor / Supplier Where did you see our ad? Who referred you? Which Trade Show? Promo Code By typing your name in the box below, the individual(s) who is either a principal of the credit applicant listed above and/or a guarantor of its obligations, provides authorization to Allegiant Partners Incorporated its affiliates and its designees (and any nominee, assignee or potential assignee thereof) to obtain and review his/her personal consumer credit report from a consumer credit reporting agency. This authorization shall extend to obtaining a consumer credit report, and additional consumer credit reports, now and again in the future for the purpose of (i) credit evaluation, assessing financial condition and review, including updating, renewing and/or the extending of such credit and/or (ii) reviewing and/or collecting the resulting account, now and from time to time. This authorization applies to this application, any future applications, any requests by you and/or applicant for credit and any solicitations by us to offer you and/or applicant credit. 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