Online Loan Application

Online Credit Application
Applicant Information
Name*

First NameMiddle NameLast Name
Do you have a DBA name?*

YesNo

Guarantor/Co-Signer Information
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Phone No.
(Area Code) Phone Number
Driver's License No.*
Issue State*
Social Security No.*
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Business Information
Business Name
Phone No.
(Area Code) Phone Number
Fax No.
(Area Code) Phone Number
Business Address

Street Address

Street Address Line 2

CityState

Zip Code
Business Type*

Sole ProprietorPartnershipCorporationLimited Liability Corp (LLC)
State of Incorporation
Federal Tax ID (FEIN)
Trucking Experience & History
How many years have you been Driving?*
Current Fleet size?*
Have you ever financed a truck before?*

YesNo

Haul Reference
HAUL REFERENCE
File Upload
PLEASE ATTACH A PHOTO OF YOUR DRIVER'S LICENSE TO YOUR APPLICATION.

If you are using a mobile device, click the "Take Photo" Button and use your phone camera to take a photo of your Driver's license. It will attach to your online application.

If you are using a desktop or laptop, please scan and attach the scanned copy.

Your application will not be processed or reviewed without a furnished copy.
PRIVACY NOTICE/PRIVACY POLICY

Introduction:
As either a valued customer or potential customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. In connection with your transaction or request for information, this dealership may obtain information about you as described in this notice, which we handle as stated in this notice.

Who is covered by the policy:
Our Privacy Policy applies to individuals who are consumers or customers in connection with services provided by the dealership such as vehicle leasing, retail installment sales and other transactions or inquiries. The dealership reserves its right to amend this notice and the Privacy Policy, but we will give you notice of the revised policy before disclosing and personal information other than as stated in this notice.

Website Usage:
You can visit the dealership’s website to read product information without telling us who you are and without revealing any personal information. During normal website usage, we do not collect, gather or store any personal information from you, such as name, address, phone number or e-mail address. The only information we collect from your use of the site is the name of your Internet service provider, sites you visited, pages you requested, dates and times you visited the site. These activities are monitored by the management to measure the usefulness of the site. During normal website usage, we do not collect or store personally identifiable information such as name, mailing address, e-mail address, phone number or social security number.

Collection of Information:
The purchase/lease of a vehicle requires considerable accumulation of non-public personal information. We collect non-public information about you from the following sources:

Information we receive from you on applications made on line via our website and at the dealership, e-mail communications from you, and other forms - such as your name, phone numbers, address, social security number, assets and income.
Information about your transactions with us, our affiliates or others such as contact or lease balances and payment history; and, Information we receive from a consumer reporting agency.
Information from outside sources regarding employment, residence, credit balances, liability, property insurance coverage.
Protection of Information

We restrict access to non-public personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your non-public personal information. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy.

Disclosure of Information: (As permitted by law)
We may disclose non-public personal information about you, while you are a consumer, customer or former customer to the following types of third parties:

Financial Service Providers-such as banks, credit unions, and other finance related companies in order to serve your financial needs.
Non-Financial Service Providers who perform services on our behalf, such as providing you with information about products and services that we believe may be of value to you. Before providing information to our service providers we enter into contract agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed.
Automotive Manufactures & DMV in order to process the services and products you have requested such as vehicle sales, warranty information, registration and licensing.

Marketing Companies that provide services to our dealership or affiliates such as data analysis and marketing list generation.
Non-affiliated third parties in certain other circumstances, such as companies that maintain and safeguard our account information, debt collectors and as necessary to respond to legal subpoenas and other legal process.

By using this site, you are agreeing to the terms of our Privacy Policy. We reserve the right to change our Privacy Policy.
Take Photo/Upload File
Applicant Signature
CREDIT APPLICATION TERMS & CONDITIONS
The Applicant(s) certifies that he/she is authorized to execute this Application for the named business (“Applicant”), and that all information and documents submitted, are true and accurate and complete and understands that it is to be used to determine the amount and conditions of the credit to be extended. The Applicant(s) certifies that he/she has secured or applied for all applicable licenses or permits needed to conduct the named business. The Applicant(s) consents to the obtaining of credit and/or other information to be used at any time in connection to the account hereby applied for; and consents to and authorizes the release of any credit and financial information by any bank, trade reference, and credit reporting agencies, and expressly consents to GOLDEN STATE TRUCK SALES INC obtaining a consumer credit report of the undersigned, and a business credit report of The Applicant(s) for the purposes of evaluating credit worthiness. The Applicant(s) further agrees to notify GOLDEN STATE TRUCK SALES INC promptly of any material change in any such information. The Applicant(s) authorizes GOLDEN STATE TRUCK SALES INC to contact references and request criminal record information from criminal justice agencies for the purpose of determining eligibility. The Applicant(s) understands and agrees that this application is subject to final credit approval.

GOLDEN STATE TRUCK SALES INC in consideration of and for the purposes of The Applicant(s) agreements and representations herein contained this CREDIT APPLICATION (Agreement) shall include any subsidiary, parent company, division, affiliated, sister or related companies and entities, predecessor or successor-in-interest of GOLDEN STATE TRUCK SALES INC.

The Applicant(s), any named owner, principal, and any Guarantor of this CREDIT APPLICATION hereby authorize GOLDEN STATE TRUCK SALES INC or any credit bureau, credit reporting agency and similar companies, and investigative agencies employed by GOLDEN STATE TRUCK SALES INC to investigate and obtain credit reports, information, and data on the applicant, any named owners, principals, and guarantor to contact references herein listed pertaining to their credit and financial responsibility at any time, and from time to time, without any further authorization from applicant. If required, applicant, owners, principals, and guarantor agree to give written aurthorization to such entities to furnish information to GOLDEN STATE TRUCK SALES INC.

FEDERAL EQUAL CREDIT OPPORTUNITY ACT NOTICE
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal agency that administers compliance with this law concerning USDA is the Federal Trade Commission, Washington, D.C. 20580. If a person believes he or she was denied assistance in violation of this law, they should contact the Federal Trade Commission, Washington, D.C. 20580.
Primary Signature*
Signed On

File Upload
The Guarantor of this Application must furnish a copy of a Driver's License.

Please click on the button below to attach a photo of it to your application.

If you are using a desktop or laptop, please scan and attach the scanned copy.

Your application will not be processed or reviewed without a furnished copy.

The application authorizes “its assigns or potential assignees” to pull credit.
PRIVACY NOTICE/PRIVACY POLICY

Introduction:
As either a valued customer or potential customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. In connection with your transaction or request for information, this dealership may obtain information about you as described in this notice, which we handle as stated in this notice.

Who is covered by the policy:
Our Privacy Policy applies to individuals who are consumers or customers in connection with services provided by the dealership such as vehicle leasing, retail installment sales and other transactions or inquiries. The dealership reserves its right to amend this notice and the Privacy Policy, but we will give you notice of the revised policy before disclosing and personal information other than as stated in this notice.

Website Usage:
You can visit the dealership’s website to read product information without telling us who you are and without revealing any personal information. During normal website usage, we do not collect, gather or store any personal information from you, such as name, address, phone number or e-mail address. The only information we collect from your use of the site is the name of your Internet service provider, sites you visited, pages you requested, dates and times you visited the site. These activities are monitored by the management to measure the usefulness of the site. During normal website usage, we do not collect or store personally identifiable information such as name, mailing address, e-mail address, phone number or social security number.

Collection of Information:
The purchase/lease of a vehicle requires considerable accumulation of non-public personal information. We collect non-public information about you from the following sources:

Information we receive from you on applications made on line via our website and at the dealership, e-mail communications from you, and other forms - such as your name, phone numbers, address, social security number, assets and income.
Information about your transactions with us, our affiliates or others such as contact or lease balances and payment history; and, Information we receive from a consumer reporting agency.
Information from outside sources regarding employment, residence, credit balances, liability, property insurance coverage.
Protection of Information

We restrict access to non-public personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your non-public personal information. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy.

Disclosure of Information: (As permitted by law)
We may disclose non-public personal information about you, while you are a consumer, customer or former customer to the following types of third parties:

Financial Service Providers-such as banks, credit unions, and other finance related companies in order to serve your financial needs.
Non-Financial Service Providers who perform services on our behalf, such as providing you with information about products and services that we believe may be of value to you. Before providing information to our service providers we enter into contract agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed.
Automotive Manufactures & DMV in order to process the services and products you have requested such as vehicle sales, warranty information, registration and licensing.

Marketing Companies that provide services to our dealership or affiliates such as data analysis and marketing list generation.
Non-affiliated third parties in certain other circumstances, such as companies that maintain and safeguard our account information, debt collectors and as necessary to respond to legal subpoenas and other legal process.

By using this site, you are agreeing to the terms of our Privacy Policy. We reserve the right to change our Privacy Policy.
Take Photo/Upload File
Guarantor/Co-Signer Signature
GUARANTEE AND AUTHORIZATION TO RELEASE INFORMATION
The Guarantor certifies that all information and documents he/she has submitted in The Application, are true and accurate and complete. Personal Guarantor agrees to all terms and to be held accountable without limitations of all liability in the event that applicant does not meet financial responsibility. The undersigned hereby unconditionally and absolutely guarantees to and for GOLDEN STATE TRUCK SALES INC. the due performance, including, without limitations, the prompt payment when due, whether at stated maturity, by acceleration or otherwise and at all times thereafter, of any and all obligation of Applicant now or hereafter owed to Grant under contract or agreement or course of dealing now or hereafter entered into or engaged in between GOLDEN STATE TRUCK SALES INC and Applicant. (the "Obligation").

Guarantor hereby authorizes release of information from any and all of the following credit bureaus, credit reporting agencies, investigative agencies, references and other sources which bear on the Guarantor's credit worthiness and financial responsibility and grant the right to GOLDEN STATE TRUCK SALES INC to obtain from such entities and sources information it deems necessary to enable it to evaluate the guarantee on behalf of the Applicant. Guarantor further authorizes GOLDEN STATE TRUCK SALES INC. to obtain information and the release of information on the credit and financial responsibility on the guarantor at any time, and from time to time, without any further authorization. In addition, Guarantor hereby authorizes the release to GOLDEN STATE TRUCK SALES INC of all information requested by GOLDEN STATE TRUCK SALES INC. pertaining to Guarantor's accounts, business practices and credit history.

GOLDEN STATE TRUCK SALES INC in consideration of and for the purposes of The Guarantor and The Applicant(s) agreements and representations herein contained in this CREDIT APPLICATION (Agreement) shall include any subsidiary, parent company, division, affiliated, sister or related companies and entities, predecessor or successor-in-interest of GOLDEN STATE TRUCK SALES INC.

FEDERAL EQUAL CREDIT OPPORTUNITY ACT NOTICE
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal agency that administers compliance with this law concerning USDA is the Federal Trade Commission, Washington, D.C. 20580. If a person believes he or she was denied assistance in violation of this law, they should contact the Federal Trade Commission, Washington, D.C. 20580.
Co-Signer/Guarantor Signature*
Signed On

Should be Empty:

Online Credit Application