Dealer # and Credit Application #
/
Commercial Credit Application
Dealer Name
(Not for Consumer Use)
Merchant #:
*Equipment Use:
You are applying for a CNH Capital Retail Installment Contract / Lease and a Commercial Revolving Account. If you already have a CNH Capital
AG
CE
Commercial Revolving Account check here:
If you do not wish to be considered for a Commercial Revolving Account please check here:
*First Name
*M.I.
*Last Name
DBA
IF INDIVIDUAL -
(Sole
Proprietorship)
IF Legal
*Exact Business Name
State Organization ID Number
State Formed
Formation Date
Business
Entity
*(Check One)
Corporation
Limited Liability Co.
Partnership
Limited Partnership
Municipality
If a business type is checked, please provide the officer,
partner, or member’s personal information in the section labeled Co-Applicant or Officer/ Partner/ Member. A copy of the partnership agreement is also required.
*Tax ID or SSN
*Date of Birth (individual) *Street Address
*City
*State
*County
*Occupation:
Building Contractor
Road & Street
*Zip Code
*Home Phone (Individual)
*Business Phone
Full-time Farmer
Logging
Rental Yard
Custom Operator
Lawn & Ground Care/Snow Remove/Landscape
*Income Frequency
*Residence (If appl)
Email
*Yr Business Est.
Annual Gross Income Net Worth
*Yr Residence Est.
(individual)
Monthly
Own
Bank Name
Bank Phone #
Contact Name
Account #
Approximate total checking & savings
balance
*Has the applicant had any unsatisfied judgments against them in the past 7 years, had equipment
If yes, please specify:
repossessed in the past 7 years, or been declared bankrupt in the past 10 years?
Yes
No
*First Name
M.I.
*Last
*SSN
*Date of Birth
*Street Address
*City
*County
*Zip Code
*State
*Yr Business Est.
Occupation (describe)
*Yr Residence Est.
*Home Phone
Business Phone
Year
*EQ Type
*Manufacturer
*Series
*Model
Description
*Serial #/VIN #
*Hours
*N/U
*Sales Price
*Will any of this equipment that you are purchasing be
*Total Sales Price
*Total Sales Tax
rented to another party?
Yes
No
$
*Year
*EQ Type
*Manufacturer
*Series
*M