Volvo Trucks at Wheeling Truck Center



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23rd & Market St.
PO Box 6808
Wheeling WV 26003
Phone: 800-820-6053
Local: 304-232-1440
Fax: 304-232-1444

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Credit application is for use by Wheeling Truck Center for the sole purpose of obtaining financing for new and used trucks. This is form is e-mailed directly to Wheeling Truck Center.

Personal Information

Name:
Doing Business As:
Address:
City: State: Zip Code:
Phone Number:
Mobile Phone:
Fax: Number:
E-mail:
Birth date:
Social Security Number:

How Long as owner/operator or business: Years:
How Long as a driver Years:

Purchase for:

Current Fleet Size: Trucks Trailers

Taken bankruptcy with in the last 10years?: yes no If yes when?:
Any items repossessed?: yes no

Credit References

Bank Name: Account # Contact:
City State Phone

Finance Co#1 Account # Contact:
Collateral City State Phone

Finance Co#2 Account # Contact:
Collateral City State Phone

Major Trade Ref: Goods Purchased
Contact City State Phone

Other References Information
City State Phone

Employment

Please list your employment for the last five years, starting with the current company you are leased to or plan on leasing your truck with.

Name of Company: Contact:
Phone Number:
Address (City and State): How long:

Describe the nature of your business (i.e. tanker flatbed, etc..)

Equipment

Briefly describe what you want to purchase and what you would like to trade in

Name of person submitting this information:

The information given above is true and complete. Wheeling Truck Center may receive from and disclose to other persons, including credit reporting agencies, information about Applicant's accounts and credit experience and Applicant authorizes any person to release to Wheeling Truck Center his credit experience and account information on Applicant. This shall be a continuing authorization for all present and future disclosures of account information and credit experience on Applicant made by Wheeling Truck Center, or any person requested to release such information to Wheeling Truck Center