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Legal Name: |
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Date of Birth (for Individuals): |
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DBA: |
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Proprietorship |
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Corp. |
Sub S |
LLC. |
Partnership |
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Other: |
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Tax Exempt Number: |
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State-issued Organization # (not tax id #): |
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State of Organization or state of legal residence for individuals: |
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SOC SEC # / TAX ID # |
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Gross Profit (Monthly Income) |
Type of Business |
Yrs in Business |
E-Mail and Website Address |
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Primary Legal/CEO Address: Street |
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Billing Address: Street |
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County |
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(if different from above) |
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Fleet Manager Name: |
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Phone # |
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E-mail Address |
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Garage Address: Street |
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City |
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County |
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State |
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Zip |
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Phone # |
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Fax # |
Mobile Phone # |
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Contact Name |
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Owner/Guarantor: Name |
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Title |
Address |
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PH# |
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Social Security / TN # |
Date of Birth |
Ownership % |
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Owner/Guarantor: Name |
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Title |
Address |
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PH# |
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Social Security / TN # |
Date of Birth |
Ownership % |
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Note: Sole Proprietor, Individual Co-Applicant(s) or Individual Guarantor(s) must complete this section |
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Individual (First Name, Middle Name, Last Name, Suffix): |
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Social Security Number |
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Date of Birth |
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only |
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Home Phone |
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Own Home Outright |
Living with Relatives |
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Driver’s License No. & State |
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( |
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Buying Home |
Leasing/Renting |
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Lived There |
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Yrs. |
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Mos. |
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Individuals |
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Previous Employer / Business (if less than 2 years) |
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Address |
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Phone Number |
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do not wish to have it considered as a basis for repaying this obligation. |
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( |
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Monthly Income |
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Secondary Income * |
Source |
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*Alimony, child support or separate maintenance income need not be revealed if you |
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for |
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Mortgage Holder / Landlord (Name & Address) |
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Mortgage Holder / Landlord Phone |
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Mortgage Payt / Monthly Rent |
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Complete |
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( |
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Name & Address of applicant’s nearest relative not in household |
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Relationship |
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Home Phone |
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( |
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) |
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Name & Address of applicant’s non-related personal reference known over one year |
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Relationship |
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Home Phone |
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( |
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) |
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Please use additional applications if more space is needed for multiple owner, quarantor or applicant information. |
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Have you previously done business with Ford Motor Credit Company (check one |
Yes No) If yes, Acct #: |
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List other creditors you do business with: |
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Bank |
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City & State |
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Telephone # |
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Contact |
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Account # |
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Trade |
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City & State |
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Telephone # |
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Contact |
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Account # |
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IMPORTANT INFORMATION ABOUT ESTABLISHING A RELATIONSHIP WITH FORD CREDIT |
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For the purpose of securing credit from Ford Motor Credit Company ("Ford Credit"), each of the parties signing below (the "Undersigned") certifies that the above information is true and complete. The Undersigned authorize Ford Credit to: (i) check their respective credit and employment histories, verify income, and provide and/or obtain information about their credit experience with Ford Credit, and (ii) at any time, sell, transfer, or assign any credit secured from Ford Credit and any or all servicing rights with respect thereto, or grant participations therein or issue securities with respect thereto.
The Undersigned each consent and specifically authorize Ford Credit, as it may deem necessary or desirable, to forward any documentation and information which Ford Credit now has or may hereafter acquire in connection with any transaction between any of the Undersigned and Ford Credit to any potential investor, rating agency, and any other party involved in the sale, transfer, assignment, securitization, or participation transaction involving any credit granted to the Undersigned.
Ford Credit may receive from and disclose to other persons, including credit reporting agencies, financial information about the Undersigned and information about each Undersigned’s account and credit experience and each of the Undersigned authorizes any person to release to Ford Credit financial information about the Undersigned and credit experience and account information on the Undersigned. In addition, each of the Undersigned agrees that Ford Credit may receive from and disclose to any of its affiliates, any and all such information now or hereafter provided by the Undersigned to any of the foregoing entities, including without limitation present and future credit applications, financial statements and organizational documents. This is a continuing authorization for all present and future disclosures of financial information, account information and credit experience on the Undersigned made by Ford Credit, or any person requested to release such information to Ford Credit. The Undersigned each agree that a credit report bearing on such Undersigned’s credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or way of living may be requested in connection with this application and future requests for credit. Upon request from any of the Undersigned, Ford Credit will advise such Undersigned, as applicable, whether a credit report was requested and if such a report was requested, Ford Credit, will inform such Undersigned, as applicable, of the name and address of the credit reporting agency that furnished the report.
The Undersigned each agree that Ford Credit, its affiliates, agents and service providers may monitor and record telephone calls regarding my account to assure the quality of service or for other reasons. Each of the Undersigned also expressly consent and agree to Ford Credit, its affiliates, agents and service providers using written, electronic or verbal means to contact the Undersigned. This consent includes, but is not limited to, contact by manual calling methods, prerecorded or artificial voice messages, text messages, emails and/or automatic telephone dialing systems. The Undersigned each agree that Ford Credit, its affiliates, agents and service providers may do so using any e-mail address or any telephone numbers the Undersigned provide, now or in the future, including a number for a cellular phone or other wireless device, regardless of whether the Undersigned incur charges as a result.
SEE NEXT PAGE OF THIS FORM FOR IMPORTANT INFORMATION FOR CALIFORNIA, MAINE, OHIO, RHODE ISLAND, TENNESSEE, AND VERMONT.
Applicant Signature |
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Title |
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I intend to apply for joint credit |
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Applicant Initial Here |
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Co-Applicant Signature |
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Title |
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I intend to apply for joint credit |
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Co-Applicant Initial Here |
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Guarantor Signature |
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Title |
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Date |
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**If corporate guarantor, authorized officer must sign and show corporate title. If partnership guarantor, a general partner must sign and show ‘‘Partner’’ as Title. |
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If individual guarantor, show ‘‘Individual’’ as Title. |
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V. 2.4 |
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FC-7144 (REV. February 17) |
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Please complete page 2 of this application for required transaction specific detail. |
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