Hall GMC Financing and Leasing

Commercial Application

Commercial Credit Application
(The application is secured by THAWTE)

This application will be submitted to one of our financing agencies so that we may decide whether or not to purchase the transaction.

Please select one of the following:

	Purchasing or Leasing a vehicle
	Opening a new Parts & Service in-house account

Make and Model of Interest Down Payment Desired Monthly Payment

Business Information

Full Business Name
Phone:

Street Address
PO Box

City
State
Zip

Type of Business

Corporation Partnership Individual Other

Name of President
Owners or Partners

Your Email Address

Federal Tax ID
Phone No.

Address

Name of Nearest Relative
Address of Relative

If Branched or Division, Location of Home Office

Principal Activity
State Incorporated
Year

Length of Time in Continuous Operation

Financial Information

Name of Principal Bank

Street Address
PO Box

City
State
Zip Code

Phone No.
Contact Person
. Ac No

Credit Reference

Four references are needed to process the application. Use complete addresses. Local references are requested.

Reference 1
Name
Phone No.

Address
City, State, Zip

Reference 2
Name
Phone No.

Address
City, State, Zip

Reference 3
Name
Phone No.

Address
City, State, Zip

Reference 4
Name
Phone No.

Address
City, State, Zip

Misc Information

Number of trucks in use
Approximate Monthly Volume

Purchase Orders will be furnished
Purchase Orders will not be furnished

Person to contact regarding accounts payable

TERMS AND AGREEMENT AND RESALE CERTIFICATE

In consideration of the granting of this request for credit I/WE agree:
1) You will pay the full amount for all goods and services by the 10th of the month following the statement of charges
2) If you do not pay the full amount charged for such goods and services by the twenty-fifth of the month following the statements, a time-price differential (FINANCE CHARGE) which you agree to pay may be imposed with respect to any charges for goods or services not paid within the stated billing period. A minimum $0.50 time price differential may be imposed. Any greater time-price differential will be determined by applying a periodic rate of 1.5% to the charges for goods and services not paid within the slated billing period.
3)You agree that court costs plus reasonable attorney's fees of not less than 25% of the unpaid balance of your account shall be paid by you if the account is referred to any attorney for collection.

I certify that the information given is true, correct and complete and is given for the purpose of obtaining credit, and you and any other creditor or prospective creditor of the are authorized to make investigations concerning the above information and to disclose to each other the information set forth above and the results of such investigations.