TarasPort Trailers Credit Application Information about the Credit Applicant Legal Business Name (required) Your Name (required) Mailing Address County Phone (required) Fax Email (required) Equipment Location (if different from above) Type of Business Time in business as an owner/operator Business Type —Please choose an option—CorporationPartnershipSole Prop. Fed. Tax ID # ICC or PUCO # Sales Tax Exempt? YesNo Information about the Company Principals (President, Owners or Partners) Principal1 Name Principal1 Title Principal1 Social Security # Principal1 Home Address Principal1Home Phone Principal2 Name Principal2 Title Principal2 Social Security # Principal2 Home Address Principal2 Home Phone Hauling References Company1 Name Address Phone Contact Company2 Name Address Phone Contact Insurance Agent Address Phone Contact Vendor/Equipment Information Name Phone Contact Name Fax Equipment to be purchased Condition NewUsed Term (months) Advance Payments Gross Amount Down Payment/Trade Total Cost (before tax) (REQUIRED) I hereby authorize the release of any credit reference information for the company and individuals listed above, including credit reports, loan, lease, checking, saving and trade accounts to Accord Financial Group and/or its assigns, and I warrant that the information stated above is true and correct. Date (MM/DD/YYYY): (REQUIRED) (Application is not complete until you click the Submit button.) Thank you for reading this post, don't forget to subscribe!