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Company Information: |
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Trade Reference: |
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Truck Insurance Informaton (rental or lease): |
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READ BEFORE SIGNING: |
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Applicant has completed this Credit Application for the purpose of procuring and maintaining credit
on an open account basis with Velocity Vehicle Group & Affiliates (“Velocity”), and Applicant
and the signer below (who warrants due authorization from Applicant for all matters stated herein)
certify that all statements are true. Applicant and the undersigned have authorized Velocity to
check credit references and to verify employment for applicant and any guarantor. Applicant and the
undersigned have also authorized Velocity to obtain from any source all credit information
concerning the referenced applicant and any proposed guarantor (including but not limited to credit
references, employment verification, financial statements, tax returns, information concerning
loans, information concerning depository and other accounts, and credit reporting agency
information) (collectively the “Credit Information”), to share all Credit Information with all any
and all affiliates of Velocity, and to provide all Credit Information to any and all third parties
having a legitimate interest in any transaction for which the credit application is made. Applicant
and the undersigned acknowledge that the credit sought is solely for a business purpose and not for
any personal, household or family purpose.
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Applicant and the undersigned understand and agree that all charges are due and payable 30 days
following the date of charge. In the event it becomes necessary for Velocity to incur collection
costs or institute suit to collect costs or institute suit to collect any amount due under this
agreement, applicant promises to pay such additional costs, interest, including reasonable
attorney’s fees. Velocity has the right to deny credit or limit the amount of credit extended, for
any cause or no cause.
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By checking this box and filling out your name in the signature field, you are authorizing
us to check your credit history
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