Map/Directions » Contact Us » Links

100 New Highland Road

Springtown, Texas 76082

Phone: 817-221-3039

Fax: 817-677-5965

Home Credit Application

If you would like to begin the credit application process prior to coming in, you may fill out the form below to get the approval process started. All of our lenders will need additional information to finalize the application, and will need original signatures. This application is simply to expedite the credit application/approval process. If you have questions, or would like to provide this information by phone, you may do so at any time.

 

Date
Last Name	First Name	Middle Name
Social Security Number
Date of Birth	Marital Status Married Single Separated
Current Physical Address
City	State Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareColumbia (District of)FloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip	Years at Current Address
Home Phone	Work or Cell Phone Number
Your Email Address
Name of Nearest Relative		Relationship
Relatives City	Relative State Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareColumbia (District of)FloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Employer Name
Employer Address
Years at job	Annual Income
Source of other Income	Amount of Other Income	Frequency of other income Year Month Week
Legal Name of Business
Type of Business Individual Limited Partnership General Partnership LLC Corporation Other
Federal Tax ID	Organization ID
State of Incorporation or Organziation Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareColumbia (District of)FloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Have you or your spouse (or cosignor) had any unsatisfied judgments rendered against you in the past 7 years, had equipment repossessed in the past 7 years, or declared bankruptsy in the past 10 years? Have you had a judgement against you or filed for bankruptsy?
By typing your name and date below, Applicant: (1) affirms that the information provided in this application, including any attached documentation, is true and correct and given for the purpose of obtaining credit; (2) understands that if credit is extended, the creditor, its agents, servicers, affiliates and assigns, will rely on such information to secure the indebtedness; (3) authorizes references to provide all relevant information to the creditor; (4) authorizes the creditor to investigate and obtain reports concerning credit history; and (5) authorizes the creditor to release to, and share and exchange with: (a) any other creditor, (b) any manufacturer of any equipment covered by this application, and (c) any dealer who may sell or lease any of the equipment covered by this application or who may submit or originate this application, any information concerning Applicant or Applicant's credit experience with the creditor and their decision whether or not to extend any credit. Applicant waives any right to confidentiality that may exist with respect to the release, exchange or sharing of such information. The creditor(s) are authorized to retain any information obtained as part of the application process whether or not the requested credit is granted.
Please list the brand and model of tractor you wish to purchase.
For security purposes and in lieu of a written signature, please provide your mother's maiden name as verification that you have willingly applied for credit through our credit vendors and that by providing your mothers maiden name that you are knowledgeable and aware that you are submitting an application for credit. Type your mothers maiden name.
This application is for pre-credit approval at one or more credit vendors. We offer this service as a courtesy to assist our customers with the pre-approval process. However, all creditors will require written signatures, and further verification and information before they will extend credit. This application is only to assist in the initial approval.
= Required

© Copyright 2006. A Tractor Shop. All Rights Reserved.

Springtown, Texas - New and Used Tractor Sales, Service and Repair