LGE Coachworks
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Credit Application
Please fill out the following credit application.

BUSINESS TYPE:
   
Corporation Partnership LLC Proprietorship Other
   
Business Name: 
President:
Address:
 
City:
State:
Zip Code:
Work Phone:
Home Phone:
Mobile Phone:
Fax #:
Date Business Started:
   
OWNERSHIP INFORMATION:
   
Name:
S.S.#: 
% Of Ownership:
Home Address Line 1:
Home Address Line 2:
City:
State:
Zip Code:
Phone #:
Other #:
Fax #:
   
Spouse:
Spouse S.S. #:
Time at Address: 
Monthly Payment:
Mortgage Holder: 
Balance:
   
BUSINESS CHECKING ACCOUNT:
   
Bank:
Phone:
Contact:
Account Number: 
   
EXISTING LOANS: (Limousines, Vans, Sedans, etc.):
 
Lender 1
Contact
Account
Phone
Lender 2
Contact
Account
Phone
   
WORK HISTORY: (Existing Contracts or Companies that use your service on a regular basis):
   
Company
Contact
Phone
   
Company
Contact
Phone
   
EXISTING FLEET: (Enter quantity currently operated by applicant):
   
Sedans:
Limousines:
Buses:
SUV's
Other
   
EQUIPMENT TO BE PURCHASED:
   
Make:
Model
Year
Stretch
Additional Components / Options
   
Seller of Car:
Address:
City:
State:
Zip:
Phone:
   
Name of Coachbuilder
(if different than seller):
Address Line 1
Address Line 2
City
State
Zip
Phone
   
Conversion Cost $
   
PAYMENT TERMS: ( does Coachbuilder require any up-front money, if so how much?)
Selling Price $ (Car + conversion cost)
Tax $
Total Selling Price: $
Down Payment $
Amount ot Finance $
Time Requested Months
   

Authorized this day of , (year)
Enter your Full Name as Your Signature:



10190 West Main Road, North East, PA 16428
Tel: 814.434.0856

 

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