Dear Customer, Please complete this application in its entirety to expedite the processing of your application. We look forward to doing business with you. If you have any questions, please call the credit department at 309‐445‐8100.

Application Procedures:

Online Credit Application

Full Name*
Title*
Soc. Sec. Num.*
Date of Birth*
MM slash DD slash YYYY
Business Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Email*
Date business established*
MM slash DD slash YYYY
Federal ID #*
Type of Organization*
- Corporation
- Patnership
- Individual
P.O. Required*
- Yes
- No

Principles, Officers or Partner*

Who is authorized to purchase*

Number of months needing to lease or rent?*
Number of trucks requesting to lease or rent?*
We own and/or operate
Trucks*
Tractors*
Trailers*
Prior Lease/Rental Reference, if available
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Bank Accounts
Name of the Bank*
Phone
Email
Address*
Street Address Address Line 2 City State ZIP Code
Type of Account(s) and Account Number(s)
Savings*
Checking*
Loan*
Credit References (MUST HAVE COMPLETE NAMES AND ADDRESSES)
Reference #1
Name
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Reference #2
Name
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Reference #3
Name
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Reference #4
Name
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Please complete the Illinois Department of Revenue Rolling Stock Certification (RUT-7) and upload it here.
Illinois Vehicle Use Tax Form RUT-7
Completed RUT-7 file upload
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 30 MB.
Automatic Payment Authorization
Directive to:
Central Truck Leasing, LLC
305 W. Northtown Rd., Suite B
Normal, IL 61761
(309) 445-8100

I authorize Central Truck Leasing, LLC, as my agent, and the bank named below to initiate variable entries to my checking account described below and to automatically debit such account for any payments payable by me to Central Truck Leasing, LLC or its affiliates. This authority will remain in effect until I notify Central Truck Leasing, LLC, and the bank in writing to cancel it in such time as to afford the bank a reasonable opportunity to act on it. I can stop payment of any entry by notifying my bank 4 days before my account is charged. I understand that this authorization shall in no way alter or amend any other agreement I may have with Central Truck Leasing, LLC. I further understand that failure to have sufficient funds available in such account may result in late payment charges, the accrual of interest, and an event of default in payment under any of my agreements with Central Truck Leasing, LLC, and this authorization shall in no way limit or act as a waiver of Central Truck Leasing, LLC's rights under such agreements.
Name of Depositor*
Account Number*
Routing Number (ABA)*
Bank Name*
Bank Phone*
Bank Address*
Street Address Address Line 2 City State ZIP Code
Automatic Payment Authorization Acknowledgment*
I agree to maintain a checking account at the aforementioned bank to cover weekly withdrawals on each Friday to cover all fixed and variable charges related to the rental or lease contract.
Depositor Signature
To clear the signature, click the refresh icon on the bottom right.
Depositor Full Name
Date
MM slash DD slash YYYY
Terms
In consideration for the granting of credit, we (I) submit the above information which you may rely on as being accurate. We (I) further authorize you to investigate any and all statements contained herein and further authorize any of our (my) creditors to release information to you regarding our (my) financial status. A copy of this agreement is also as binding as the original.

In the event that the necessity should arise for Central Truck Leasing, LLC to place any claim in litigation, purchaser agrees that said claim would be under the jurisdiction of the Circuit Court of McLean County, State of Illinois, and further agrees that they are liable for and agree to pay the unpaid balance, together with court costs incurred, plus collection costs and/or reasonable attorney fees, which shall not be less than one‐third of the balance due, regardless of whether account is litigated.

APPLICANTS SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY, ABILITY AND WILLINGNESS TO PAY OUR INVOICES IN ACCORDANCE WITH THE FOLLOWING TERMS:

CREDIT TERMS AND POLICIES

1. All new rental accounts are subject to required a deposit of up to $5,000 per truck based on credit worthiness. Deposits are refundable at the end of the contract one the balance is paid in full and all trucks returned and inspected.
2. All rental accounts must be paid weekly via ACH. All lease account must be paid monthly via ACH. The Automatic Payment Authorization must also be filled out and submitted.
3. Any returned payments will be subject to NSF fees and the contract will be in default and the contract will be terminated. All vehicles will need to be returned at that time and the balance paid in full including any late fees and/or NSF fees.
4. All accounts are considered past due if not paid in full by the 10th day of the next month after purchase, and are subject to a finance charge computed by a single periodic rate of 1.5% per month, which is an annual percentage rate of 18%.
5. Tax Exemption: For tax exempt customer, State Tax Law requires that you have on file with us your RUT-7 or resale number and a copy of that authority. You will be charged tax until all of this proper information and copies are on file.
Credit Terms and Policies Ackowledgement*
I confirm that I have read, understand and agree to the terms and conditions stated above and I also certify that all information provided in this applications is true and accurate.
MUST BE SIGNED BY OWNER OR DULY AUTHORIZED OFFICER OF THE CORPORATION
Signature*
To clear the signature, click the refresh icon on the bottom right.
Printed Name*
Title*
Date*
MM slash DD slash YYYY
If Corporation: Individually guaranteed by:
Signature
To clear the signature, click the refresh icon on the bottom right.
Printed Name
Title
Date
MM slash DD slash YYYY
Signature
To clear the signature, click the refresh icon on the bottom right.
Printed Name
Title
Date
MM slash DD slash YYYY
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Phone
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Online Credit Application

Online Credit Application

We own and/or operate

Bank Accounts

Type of Account(s) and Account Number(s)

Credit References (MUST HAVE COMPLETE NAMES AND ADDRESSES)

Reference #1

Reference #2

Reference #3

Reference #4

Please complete the Illinois Department of Revenue Rolling Stock Certification (RUT-7) and upload it here.

Automatic Payment Authorization

Terms

MUST BE SIGNED BY OWNER OR DULY AUTHORIZED OFFICER OF THE CORPORATION

If Corporation: Individually guaranteed by:

CIT TRUCKS

LOCATIONS

RESOURCES

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