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© All Wheels Financial. All Wheels Financial is associated with Allstate Peterbilt Group and WD Larson Companies.

Thank you for choosing All Wheels Financial.

All Wheels Financial has been financing transportation equipment since 1995. We provide financing for

all brands of new and used trucks and trailers. Because we understand the transportation industry, we are

able to custom tailor financing and payment schedules to meet your needs, as well as your budget

requirements. We have the ability to make fast decisions with flexible terms and competitive rates to get

you on the road when it matters most.

Please follow the directions below to complete the attached credit application. If you have any questions

or would like to talk to an All Wheels Financial representative please call, 866-210-5712, Monday-Friday

8:00 am to 5:00 pm CST.

We look forward to helping you with all of your financing needs.

Sincerely,

All Wheels Financial

500 Ford Road

St. Louis Park, MN 55426

Directions for Completing and Submitting the Attached Credit Application

If your computer is running the latest version of

Adobe Acrobat Reader you may complete the

Application by typing directly into the form

fields.

Download the FREE Adobe Acrobat Reader, at

get.adobe.com/reader

There is an option to sign the Application with a

DIGITAL SIGNATURE. If you click in the

Signature Field, directions should guide you

through this process.

Once you have completed and signed the

Application -- SAVE it.

You can then ATTACH it to an email and send

to [email protected]

PRINT and COMPLETE BY HAND

Alternately you may PRINT the application,

FILL it out and SIGN it, then fax or mail it to

All Wheels Financial.

Fax 952-703-3460

All Wheels Financial

500 Ford Road

St. Louis Park, MN 55426

All Wheels Financial Credit Application | Fax: 952-703-3460 | [email protected] Page 1 of 2

COMMERCIAL VEHICLE CREDIT APPLICATION Please Print or Type. Send completed form to All Wheels Financial -- Fax 952-703-3460

500 Ford Road, St. Louis Park, MN 55426 | or email [email protected]

FIRST NAME MIDDLE INITIAL LAST NAME DATE OF APPLICATION

Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text.SOCIAL SECURITY DATE OF BIRTH PHONE CELL FAX

Click here to enter text. Click here to enter

text.

Click here to enter text.


Click here to enter text.ADDRESS CITY STATE ZIP CODE

Click here to enter text. Click here to enter text. Click here

toenter text.

Click here to enter text.LIVING WITH

RELATIVES?

☐YES ☐NO

☐SINGLE ☐MARRIED

☐WIDOWED ☐DIVORCED

☐SEPARATED

RENT OR OWN? HOW LONG AT CURRENT

ADDRESS? (YEARS) HOW LONG LIVING IN AREA? (YEARS)

NUMBER OF DEPENDENTS




Click here to enter text. FORMER ADDRESSES (5 YEAR MINIMUM) CITY, STATE, ZIP CODE HOW LONG?

Click here to enter text. Click here to enter text. Click here to enter text.Click here to enter text. Click here to enter text. Click here to enter text.JOINT APPLICANT: COMPLETE THIS SECTION ONLY IF THIS IS A JOINT APPLICATION WITH YOUR SPOUSE OR SOME OTHER PERSON AND IF YOU ARE

RELYING ON THEIR INCOME OR ASSETS AS A BASIS FOR REPAYMENT OF THE CREDIT REQUESTED, OR IF YOU RESIDE IN A COMMUNITY PROPERTY STATE.

SPOUSE OR CO-BUYER’S NAME (FIRST, MIDDLE INITIAL, LAST NAME) SOCIAL SECURITY DATE OF BIRTH

Click here to enter text. Click here to enter text. Click here to enter text.CO-BUYER’S EMPLOYER (NAME, ADDRESS, ZIP CODE)

Click here to enter text. PHONE: Click here to enter

text.

CONTACT: Click here to enter text.

POSITION HELD? Click here to enter text.

HOW LONG? Click

here to

enter text.

NEAREST RELATIVE, NOT LIVING WITH YOU RELATIONSHIP COMPLETE ADDRESS & PHONE NUMBER HOW LONG?

SELF: Click here to enter text.

Click here to enter

text.

Click here to enter text. Click here toenter text.

CO-BUYER: Click here to enter text.

Click here to enter

text.

Click here to enter text. Click here to enter text.

CORPORATION/BUSINESS NAME BUSINESS TAX ID #

Click here to enter text. Click here to enter text. BUSINESS ADDRESS (IF DIFFERENT THAN PERSONAL) BUSINESS PHONE

Click here to enter text. Click here to enter text. PRESIDENT: Click here to enter text. % OWNERSHIP Click

here to

enter text.

ARE YOU TAX EXEMPT? ☐YES ☐NO

VICE PRESIDENT: Click here to enter text. % OWNERSHIP Click here

toenter text.

IF SO, TAX EXEMPT NUMBER:

SECRETARY/TREASURER:

Click here to enter text. % OWNERSHIP Click here

toenter text.


EMPLOYMENT HISTORY (PRESENT OR MOST RECENT EMPLOYER FIRST)

NAME AND ADDRESS OF COMPANY PHONE/CONTACT POSITION HELD HOW LONG?

Click here to enter text. Click here to enter text. Click here to enter text. Click here toenter text.



TRUCK OWNERSHIP AND USAGE

☐ADDITION OR PREVIOUS TRUCK OWNER? NO. OF TRUCKS OWNED? HOW MANY FINANCED?

☐REPLACEMENT UNIT? ☐YES ☐NO Click here to enter text. Click here to enter text. # OF UNITS IN FLEET: Click

here toenter text.

AVG. ANNUAL MILES PER UNIT: Click here toenter text.

% DEAD HEAD: Click here toenter text.

HOW MANY UNITS DO YOU RUN? Click here toenter text.

PURCHASER OF THIS VEHICLE TO DRIVE? ☐YES ☐NO IF NO, PROVIDE INFORMATION BELOW ON PERSON WHO WILL DRIVE TRUCK. IF YES, STILL COMPLETE THE INFORMATION BELOW AS TO YOUR YEARS AS AN OWNER OPERATOR, WHO YOU WILL BE HAULING FOR, ETC.

HOW LONG (YOU OR OPERATOR),AS AN OWNER/OPERATOR ? (YEARS)

Click here toenter text.

YEARS OF DRIVING EXPERIENCE?

Click here toenter text.

OPERATOR LICENSE # STATE DATE

Click here to enter text. Click here

toenter text.

Click here to enter text.IF TRUCKING, BETWEEN

WHAT POINTS? Click here to enter text. OFF HIGHWAY USE?

☐YES ☐NO AVERAGE MILES

PER MONTH? Click here to enter text.

REVENUE PER MILE/KM: Click here to enter text.

PROJECTED MONTHLY REVENUE: Click here to enter text.

PROJECTED MONTHLY EXPENSES: Click here to enter text.

UNIT TO BE TITLED IN WHAT STATE? Click here toenter text.

COUNTY: Click here to enter text. DELIVERY DATE: Click here to enter text.

All Wheels Financial Credit Application | Fax: 952-703-3460 | [email protected] Page 2 of 2

COMMERCIAL VEHICLE CREDIT APPLICATION Please Print or Type. Send completed form to All Wheels Financial -- Fax 952-703-3460

500 Ford Road, St. Louis Park, MN 55426 | or email [email protected]

FIRE, THEFT CAC AND COLLISION INSURANCE IS REQUIRED

NAME OF COMPANY/AGENT ADDRESS PHONE

Click here to enter text. Click here to enter text. Click here to enter text.CREDIT REFERENCES

BANK REFERENCE: Click here to enter text. CONTACT: Click here to enter text.

PHONE: Click here to enter text.ADDRESS CITY STATE ZIP CODE

Click here to enter text. Click here to enter text. Click here toenter text.

Click here to enter text.CHECKING ACCT # CURRENT BALANCE SAVINGS ACCT # CURRENT BALANCE


Click here to enter text. Click here to enter text.LOAN ACCOUNT #: Click here to enter text. COLLATERAL: Click here to enter

text.

BALANCE: Click here to enter text.

OTHER: Click here to enter text. REAL ESTATE OWNED (DESCRIBE) PHONE CONTACT VALUE BALANCE OWED MONTHLY PAYMENT






OTHER ASSETS OWNED (DESCRIBE) PHONE CONTACT VALUE BALANCE OWED MONTHLY PAYMENT






EQUIP OR TRUCK FINANCIAL REFERENCE (DESCRIBE/ACCT #)

PHONE CONTACT VALUE BALANCE OWED MONTHLY PAYMENT











Have any unsatisfied judgments been rendered against you or your company in the last seven years? ☐YES ☐NO

Have you or your company been declared bankrupt in the last 10 years? ☐YES ☐NO

Have you or your company or any principal had equipment repossessed in the last seven years? ☐YES ☐NO

Are any accounts past due? ☐YES ☐NO

Is the company or any principal a co-maker, co-signer or guarantor on any loans, contracts or leases? ☐YES ☐NO

Does the company or any legal principal have any loans, contracts or leases with All Wheels Financial? ☐YES ☐NO

NOTE: ATTACH EXPLAINATION FOR ANY YES ANSWERS.

ADDITIONAL INFORMATION: Click here to enter text.

I/WE UNDERSTAND AND AGREE THAT YOU MAY ASSIGN OR TRANSFER THIS CREDIT APPLICATION AND MAY ALSO COMMUNICATE THE INFORMATION CONTAINED HEREIN TO OTHERS TO DECIDE WHETHER OR NOT TO EXTEND CREDIT. I/WE AUTHORIZE THE BANK AND BUSINESS REFERENCES, AS WELL AS ANY OF MY/OUR LESSORS, LANDLORDS AND ANY OTHERS PAST OR PRESENT CREDITORS TO GIVE ANY AND ALL NECESSARY INFORMATION TO YOU, YOUR ASSIGNEES OR TRANSFEREES, WHICH WILL ASSIST YOU IN YOUR CREDIT INQUIRY. THIS APPLICATION IS GIVEN FOR THE PURPOSE OF OBTAINING CREDIT. I/WE HEREBY CERTIFY UNDER PENALTY OF LAW THAT THE FOREGOING IS A TRUE STATEMENT OF MY/OUR FINANCIAL CONDITION. IN THE EVENT OF ANY MATERIAL CHANGE IN MY/OUR FINANCIAL CONDITION, I/WE WILL NOTIFY YOU IMMEDIATELY IN WRITING.

To sign with a DIGITAL SIGNATURE, click in the Signature Field, below, and follow the directions. If this feature is not available on your computer you will need to Print and Hand Complete the Application.

CUSTOMER SIGNATURE DATE

CO-BUYER SIGNATURE DATE

mailto:[email protected]

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