34241 Lyndon B Johnson Frwy Dallas, TX 75241
Toll Free: 888-306-8374 / Fax: 972-225-1928

Apply for Credit

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CREDIT REFERENCES

Financed With City State Phone Number Account Number
Tractor
Trailer
Other
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HAUL INFORMATION
   
Name Of Company Address City State Phone Number Contact Person
   
   

COLLATERAL: (FOR LOAN REQUESTED)

TRACTOR or TRUCK
   
   
   
   
   
   
   
   
 

TRUCK ATTACHMENT INFO (if applicable): (Box, Dump Body, Flat Bed, etc):

   
   
TRAILER
   
   
   
   
   
   
   
 
The information given above is true and complete. Utility Trailer of Dallas, Inc. may receive from and disclose to other
persons, including credit reporting agencies, information about the applicant?s account and credit experience. Applicant
authorizes any person to release to Utility Trailer of Dallas, Inc credit experience and account information on Applicant. This
shall be a continuing authorization for all present and future disclosures of account information and credit experience on
Applicant made by Utility Trailer of Dallas, Inc. or any person requested to release such information to Utility Trailer of
Dallas, Inc.
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