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MAG Trucks
105 S. Jefferson St.
Suite C-3, #271
Kearney, MO 64060

Toll Free: (800)-805-6818
Fax: (816)-366-3952

Sales
Monday-Saturday
9A.M.-7P.M.

Operations
24 Hours

CLOSED SUNDAY

To : sales@magtrucksales.com

Borrower Information


(This page is secured with 128 bit SSL encryption )

First Name

Last Name

Home Address

City

State

Zip Code

Months/Years at Residence
Example: 4y/6m
Primary Phone

Alternate Phone

Birth Date
xx/xx/xxxx
Social Security Number
(Your application cannot be processed without your SSN)
eMail Address



Employment Information


Employment Status
(Self Employed, Employee, Unemployed or Other)
Employers Company Name

Gross Monthly Income (Before taxes are taken out)

Employers Street Address

Years & Months of Employment
Example: 4y/6m
Employers City

Employers State

Employers Zip Code

Employers Phone

Your Trade or Occupation

Down Payment Available?
(Yes, No or a $ amount you will be able to put down)

For internal use only


Terminal Information (Manager, Telephone, FAX, Address)


I certify that the above information is true and correct to the best of my knowledge
and hereby give permission to perform credit checks:
(Please type your "Full Name" below)


Your Digital Signature




The undersigned individual who is either a principal, personal guarantor or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, herby consents and authorizes us ,or our designees, the use of a consumer credit report on the undersigned signature or digital signature, from time to time as may be needed, as well as the release of any and all information requested for the purpose of granting business credit. A photo copy will act as an original.

 
 
© MAG Trucks
MAG Trucks
Toll Free: (800) 805-6818
Fax: (816)-366-3952