Trucking Questionnaire

Quick Business Questionnaire

* Indicates required field

Company Name: *

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

Are You A Homeowner? *

Yes No

Type of Business: *

CDL?: *

Yes No

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

Yes No

Business Experience: *

1) Reference - Name: *

1) Reference - Number: *

2) Reference - Name *

2) Reference - Number *

Who will you be hauling for? (Company Name): *

Contact Name: *

Phone: *

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

What (mainly) will you be hauling? *

Estimated Revenues (Per Month): *

Estimated Expenses (Per Month):

Equipment Payment: *

Fuel: *

Insurance: *

Maintence: *

Total Estimated Expenses (Per Month): *

Will this truck/trailer run out of your home state? *

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

By submitting you accept the Terms and Conditions

Proudly powered by Weebly