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Miranda Motors Credit Application
** 100% FINANCING AVAILABLE. ALL CREDIT TYPES. START UP'S WELCOME. FAST APPLICATION ONLY APPROVALS!!**
Please fill out the following credit application and one of our credit specialists will contact you as soon as possible. If you should have any questions please contact us at::856-624-4692
BUSINESS INFORMATION
Legal Business Name:
*
Business Address
*
Floor/Suite:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Time In Business as current owners (Yrs):
*
Phone Number:
Email Address
*
Type of Business:
*
Is at least one owner a US Citizen:
*
Federal Tax ID:
Do you have a CDL (Commercial Drivers License):
Do you have a VALID DRIVERS LICENSE?
*
BUSINESS OWNERSHIP
Owner Type:
*
Sole Owner
Partnership
Corporation
LLC
LLP
Other
Name:
*
Title:
Social Security #:
*
% of Ownership:
*
Home Address:
*
Floor/Suite:
City:
*
State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number:
*
Email Address
2nd Name:
Title:
Social Security #:
% of Ownership:
Home Address:
Floor/Suite:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number:
EQUIPMENT
Vendor:
Phone Number:
Equipment Type
*
New
Used
Amount $:
*
Available Down Payment if needed $:
*
Type of Equipment:
*
Preferred Term (Months):
*
24
36
48
60
Other
Equipment Description:
Additional information you can provide about your financial needs:
I agree that by submitting this form, I, the undersigned individual, recognizing that his or her individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to and authorizes the above named business credit provider and any assignee, lender or funding service that may be utilized to obtain and use a consumer credit report on the undersigned, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwise have under Fair Credit Reporting Act in the absence of this continuing consent.