Dozer

Financing


If you are interested in financing, please take the time to fill out our online finance application. Fields marked with an * are required.


Equipment Being Financed

Category:

Year:

Make:

Model:

Condition:

Additional Information:

Applicant Information

Cash Down Payment:

Suffix:

First Name: *

Middle Name:

Last Name: *

Do you have a valid driver's license? *

State Issued: *

Marital Status: *

Number of Dependents:

Address Information

Street Address: *

City: *

State: *

Zip/Postal: *

County:

Years Lived at Current Address: *

Residential Status: *

Email: *

Main Phone: *

Cell Phone:

Employment Information

Employer: *

Occupation: *

Self Employed?:

Street Address: *

City: *

State: *

Zip/Postal: *

County:

Work Phone Number: *

Employed (years/months): *

Gross Income/Month: *

Other Income:

Other Income Source:


Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Reference Information

Relative Name (Nearest but not living with you): *

Relative Relation (Mother, Father, etc.): *

Relative Phone Number: *

Relative Address:

Reference Name: *

Reference Relation: *

Reference Phone Number: *

Reference Address:

Credit Information

Monthly Rent or Mortgage Payment: *

Mortgage Balance: *

Checking Account: *

Savings Account:

Automobile Loan:

Other Loan:

Credit Card:

Have you ever been the subject of, or are subject to, any bankruptcy proceedings?

Has applicant or spouse ever obtained credit under a different name?

Have you or a spouse ever had a vehicle repossessed?

For security purposes, please enter the characters from the box above: