Credit Application

*Fields marked with asterisk(*) are required

Name






Address Information









Personal Information








Financial Disclosures





Current Driving Information






Previous Employment Information



Truck Usage









Monthly financial obligations


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$

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Authorized Signature

By signing below and submitting this application, I make the following certifications, authorizations and acknowledgements with regard to this application to Schneider Finance, Inc. ("SFI") for vehicle lease/financing:
I certify that I am an owner of the applicant identified above in the "NAME" section of this application (the "Applicant"), and that I am authorized to submit this application on behalf of the Applicant and to legally bind the Applicant. I certify that the information I provided in this application is true and correct to the best of my knowledge. I further certify that any lease or financing that may result from this application, and any vehicle so leased or financed, will be used exclusively for the Applicant's business or commercial purposes. I understand that this application will be retained by SFI regardless of whether it is approved.
On behalf of the Applicant and on my own behalf, I hereby authorize SFI to verify my employment history, and to contact credit bureaus and other third parties to make inquiries in evaluating this application, or in connection with any update, renewal, or extension of the credit or lease for which this application was made, including requesting business credit reports on both the Applicant and on me, and requesting consumer reports on me from consumer reporting agencies. If I ask SFI whether my consumer report was requested, SFI will inform me and, if applicable, will provide me with the name and address of the consumer reporting agency that furnished the report. I further authorize SFI to answer questions about its transactions or experiences with me. I acknowledge that I have read the Authorization to Transmit Information and authorize SFI to exchange information with my motor carrier pursuant to that Authorization.

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