Trucking Questionnaire

Quick Business Questionnaire

* Indicates required field

Company Name: *

Storage address when not in use (street, city, zip) *

Do you have any contracts, defined work, etc *

Yes No

If Yes, Please Describe: *

What income do you expect per/mo with this trailer/truck? *

Do you have any experience in this industry? *

Yes No

What is the area/radius you will service? (Counties/State(s)/Miles) *

Do you have or plan to get an MC#, run on IRP/apportion tags? *

Yes No

Will this trailer run out of your home state? *

Yes No

Are You A Homeowner? *

Yes No

What power unit/truck do you have to pull the trailer? (need year, make, model & milage) *

Is there a sleeper unit? *

Yes No

Is there a lien on the Truck/ Power Unit? *

Yes No

If Yes, then need: Lender, Term, Start Date & Monthly Pmt *

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? *

Yes No

If Yes, then need: Year, Make, Model & Milage *

What amount of security deposit/down payment is avail? *

30% or more 20%-30% 10%-20% Less than 10%

Anything Additional You Want To Mention? *

Submit

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