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Quick Business Questionnaire
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Indicates required field
Company Name:
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Storage address when not in use (street, city, zip)
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Are You A Homeowner?
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Yes
No
Type of Business:
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CDL?:
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Yes
No
Do you have or plan to get an MC#, run on IRP/apportion tags?
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Yes
No
Business Experience:
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1) Reference - Name:
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1) Reference - Number:
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2) Reference - Name
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2) Reference - Number
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Who will you be hauling for? (Company Name):
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Contact Name:
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Phone:
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What is the area/radius you will service? (Counties/State(s)/Miles)
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What (mainly) will you be hauling?
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Estimated Revenues (Per Month):
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Estimated Expenses (Per Month):
Equipment Payment:
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Fuel:
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Insurance:
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Maintence:
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Total Estimated Expenses (Per Month):
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Will this truck/trailer run out of your home state?
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Yes
No
What power unit/truck do you have to pull the trailer? (need year, make, model & milage)
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Is there a sleeper unit?
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Yes
No
Is there a lien on the Truck/ Power Unit?
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Yes
No
If Yes, then need: Lender, Term, Start Date & Monthly Pmt
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Do you own any truck(s) or trailer(s) free & clear and would be willing to pledge to add strength to the deal as additional collateral?
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Yes
No
If Yes, then need: Year, Make, Model & Milage
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What amount of security deposit/down payment is avail?
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30% or more
20%-30%
10%-20%
Less than 10%
Anything Additional You Want To Mention?
*
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Section 179 Calculator
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