Credit Application for Short-Term Truck Rentals

By taking advantage of our short-term truck rental credit, you can get on the road quickly and start supporting your business in no time! Our credit application is easy, and payment terms can be set up to match your business needs!

Apply for Truck Rental Credit

This application is for short-term rentals and lease options. For new & used truck financing and parts & service financing, please see our other credit applications To be considered for Truck Rental Financing, the form found below must be filled out completely, signed, and submitted. Submission of this application does not guarantee acceptance.

1Business Information

2Individuals, Principals or Guarantors

3Contracted Hauls

4References

5Terms and Conditions

6Personal Guaranty

Individual, Principal, or Guarantors
- Individual, Principal, or Guarantor #1:
- Name*
- Title in Business*
- Address*
- City*
- State*
  State
- ZIP*
- Home/Cell Phone
- Social Security Number*
- Individual, Principal, or Guarantor #2:
- Name
- Title in Business
- Address
- City
- State
  State
- ZIP
- Home/Cell Phone
- Social Security Number

References
- Bank Reference #1:
- Bank Name 1*
- Bank 1 City*
- Bank 1 State*
  State
- Bank 1 Phone Number*
- Bank 1 Fax Number
- Bank 1 High Credit*
- Bank 1 Account Number*
- Bank 1 Approx Balance*
- Bank Reference #2:
- Bank Name 2
- Bank 2 City
- Bank 2 State
  State
- Bank 2 Phone Number
- Bank 2 Fax Number
- Bank 2 High Credit
- Bank 2 Account Number
- Bank 2 Approx Balance
- Bank Reference #3:
- Bank Name 3
- Bank 3 City
- Bank 3 State
  State
- bank 3 Phone Number
- bank 3 Fax Number
- Bank 3 High Credit
- Bank 3 Account Number
- Bank 3 Approx Balance
- Previous Trucks Purchased or Rented #1:
- Truck Purchased or Rented #1*
- Truck Purchased or Rented #1 Phone*
- Truck Purchased or Rented #1 Fax Phone
- Truck Purchased or Rented #1 High Credit*
- Truck Purchased or Rented #1 Account Number*
- Truck Purchased or Rented #1 Approx Balance*
- Previous Trucks Purchased or Rented #2:
- Truck Purchased or Rented #2
- Truck Purchased or Rented #2 Phone
- Truck Purchased or Rented #2 Fax Phone
- Truck Purchased or Rented #2 High Credit
- Truck Purchased or Rented #2 Account number
- Truck Purchased or Rented #2 Approx Balance
- Previous Trucks Purchased or Rented #3:
- Truck Purchased or Rented #3
- Truck Purchased or Rented #3 Phone
- Truck Purchased or Rented #3 fax Phone
- Truck Purchased or Rented #3 High Credit
- Truck Purchased or Rented #3 Account Number
- Truck Purchased or Rented #3 Approx Balanc
- Trade References #1:
- Trade 1 Name*
- Trade 1 Phone*
- Trade 1 Fax*
- Trade 1 High Credit*
- Trade 1 Account Number*
- Trade 1 Approx Balance*
- Trade References #2:
- Trade 2Name*
- Trade 2 Phone*
- Trade 2 Fax*
- Trade 2 High Credit
- Trade 2 Account Number
- Trade 2 Approx Balance
- Trade References #3:
- Trade 3 Name*
- Trade 3 Phone*
- Trade 3 Fax*
- Trade 3 High Credit
- Trade 3 Account Number
- Trade 3 Approx Balance

The remainder of this form needs to be PRINTED and signed
Read the terms below and continue to the next page for more instructions.
Terms And Conditions of Credit Account
- Jackson Group PacLease (“PacLease”) requires the following Terms and Conditions Agreement (“Agreement”) for the extension of credit to any customer. These terms and conditions, as well as any corresponding Lease and/or Rental Agreements, govern all rentals, leases, parts, and other services purchased by the undersigned customer, or approved by its authorized party (an employee or other person authorized by the customer), (hereinafter referred to as “Customer”) and that are charged to the Customer’s account.
- COSTUMER:
- 1. Each invoice submitted to Customer is due and payable in full upon receipt. The Customer is responsible for the payment of the account and finances charges, if applicable.
  2. Customer and the personal guarantor hereby authorize PacLease, its agents, representatives, or affiliates to secure a credit report from time to time in connection with the extension or continuation of credit represented by this Agreement or the collection of debts resulting therefrom. Customer further agrees to the release of credit information, including the reporting of credit history to credit reporting agencies, consistent with the Fair Credit Reporting Act 15 U.S.C 1681, et seq., as amended. This authorization shall be continuing without expiration. A photocopy or facsimile copy shall be given the same effect as the original.
  3. Upon PacLease’s approval of Customer’s credit application, PacLease may choose to allow Customer to rent or lease its equipment pursuant to the terms of a Rental or Lease Agreement. Upon execution of a Rental or Lease Agreement, the terms of the Rental or Lease Agreement, as well as the Terms and Conditions Agreement, shall collectively govern the agreement between PacLease and Customer. In addition to the terms of the Rental or Lease Agreement, the following provisions apply:
  4. All return items are subject to a restocking fee.
  5. Customer is responsible for complying with and being aware of all rules and regulations governing tax exemption. In addition, Customer must provide with this agreement a copy of their tax-exempt certificate.
  6. A finance charge will be imposed on any portion of the Customer’s account that is over 30 (thirty) days past due. The finance charge will be determined by applying a periodic rate of 1.5% (one and a half percent) per month or an annual percentage rate of 18% (eighteen percent).
  7. In the event of default, the Customer and the personal guarantor(s) agrees to pay all costs of collection, including fees of any collection agency in the amount of not less than 25% (twenty five percent) of all amounts due and attorney fees, whether hourly or contingent, but not to be less than 25% (twenty five percent) of the amount due if contingent, together with costs of court. The Customer agrees that jurisdiction and venue shall lie within the District Courts of Salt Lake County, State of Utah, and by signature of the Customer submits him/herself/itself to jurisdiction of that court. Notwithstanding the foregoing, PacLease in its sole discretion may choose any jurisdiction where the Customer resides to bring its action.
  8. The specific terms of this Agreement may only be modified in writing by mutual agreement between PacLease and the Customer.
  9. PacLease reserves the right – in exercise of its sole consideration – to withhold the extension of credit limit.
- The undersigned warrants that he/she has the authority to execute this Agreement and to bind said company to the terms contained herein and further certify that the information provided herein is true and correct. Customer further certifies that this request is for the extension of credit for business purposes.
- Representative's Signature:
- Representative's Title:
- Representative's Printed Name:
- Date:
- I have read the terms above. I am aware that i need to print, sign, and fax in order to submit.*
  - I have read the terms above. I am aware that I need to print, sign, and fax in order to submit.

Personal Guaranty
- COSTUMER:
- This PERSONAL GUARANTY (this "Guaranty"), is entered by the undersigned as guarantor of the Credit Account attached hereto.
  Recitals:
  - WHEREAS, pursuant to the Terms and Conditions of the Credit Account attached hereto, Peterbilt is extending Credit to CUSTOMER;
  - WHEREAS, as a condition precedent to the making the credit extensions (including the initial credit extension) Peterbilt requires this Guaranty;
  - WHEREAS, it is in the best interest of the Guarantor to execute this Guaranty, inasmuch as the Guarantor will derive substantial direct and indirect benefits from the credit extensions made from time to time;
  - NOW THEREFORE, for good and valuable consideration the receipt of which is hereby acknowledged, and in order to induce the Peterbilt and to make credit extensions to CUSTOMER, the Guarantor hereby agrees as follows:
- The Guarantor hereby absolutely, unconditionally and irrevocably: (a) guarantees the full and punctual payment when due of all obligations of CUSTOMER with respect to all credit extensions made under the Credit Agreement and outstanding from time to time and (ii) agrees to pay any and all costs and expenses (including reasonable attorney's fees and expenses) incurred by the in enforcing any rights under this Guaranty. Guarantor agrees Peterbilt may run a credit report for Guarantor at the execution of this agreement and at any time thereafter to determine the credit worthiness of the Guarantor.
- Guarantor's Signature:
- Guarantor's Printed Name:
- Date:
- Guarantor's Driver's License #:
- Guarantor's Social Security #:
- Guarantor's Date of Birth:
- To submit this form enter your email below. A PDF will be sent to you. Please print the entire form, sign, date, and fax to 801-990-7773
- Email*
Phone
This field is for validation purposes and should be left unchanged.

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Credit Application for Short-Term Truck Rentals

Apply for Truck Rental Credit

Business Information

Business Information:

Business Formation & Structure:

Billing Address:

Shipping Address:

Send Invoices To:

Individual, Principal, or Guarantors

Individual, Principal, or Guarantor #1:

Individual, Principal, or Guarantor #2:

Contracted Hauls If Applicable

Contracted Hauls #1:

Insurance Agency:

References

Bank Reference #1:

Bank Reference #2:

Bank Reference #3:

Previous Trucks Purchased or Rented #1:

Previous Trucks Purchased or Rented #2:

Previous Trucks Purchased or Rented #3:

Trade References #1:

Trade References #2:

Trade References #3:

Terms And Conditions of Credit Account

COSTUMER:

Personal Guaranty

COSTUMER:

Recitals:

Need help determining which credit application is right for you?