Funeral Vehicle Credit Application

Customer Information

Company Name OR Individual Last, First and Middle Name, Suffix

DBA

Street

City

State/Province

ZIP/Postcode

Contact Person (First Name, Last Name)

Business Phone

Business Fax

Contact Email

State Organization ID #

Business Type

Fleet Size

State of Incorporation

Years in Business

Annual Sales ($)

Date Established

Average Number of Funeral Annually

Owners, Partners and Guarantors

(Attach separate sheet if necessary)

Name (First Name, Last Name)

% Ownership

Title

Owner Since (Date)

Street

City

State/Province

ZIP/Postcode

Telephone

Email Address

Fax

Date of Birth

Bank and Comparable Loan/Lease References

Bank Name

Contact

Telephone

Prior Vehicles Financed/Leased by

Contact

Telephone

Finance Company

Contact

Telephone

Vehicle Information

(Attach separate sheet if necessary)

Quantity

Manufacturer/Model (Description)

Delivery Date

Equipment Cost

Year/Make/Model

Total Cost

Specifications

Vehicles are

Addition Reason

Replacement Payment

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Funeral Vehicle Financing

Funeral Vehicle Credit Application

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Contact Us

Vaughan Specialty Autos
| 209 E Patton Avenue
| Alvarado, TX 76009
| Tel: 1-817-783-3621

Email: ckvalax@gmail.com

Email: barbarasimpsonvsa@gmail.com

Vaughan Specialty Autos
| 209 E Patton Avenue
| Alvarado, TX 76009
| Tel: 1-817-783-3621

Main Phone: (732) 295-0556

Email: info@classiccoachlimos.com