Credit Application

WHITE PEAK CAPITAL

Credit Application

FedEx Contractors

EMAIL TO: apply@ | FAX TO: (206) 877-4440

COMPANY INFORMATION

Fed Tax ID # (EIN)

Name

Address

City

Existing FedEx Contractor?

Yes

Phone

No Start Date (mo/yr)

Cell

# of PSAs / Dedicated

Contractor ID

# of Supplementals

Sole Prop

Zip Code

Fax

Contractor Type (check all applicable)

Business Type

State

Ground

Partnership

Terminal Name

Home Delivery

Linehaul

Corporation

Number

Custom Critical

LLC

PERSONAL INFORMATION ON OFFICERS, PARTNERS AND PERSONAL GUARANTORS

Name & Title

Phone

Home Address

City

DOB

SSN

State

Ownership %

Zip Code

Email

Name & Title

Phone

Home Address

City

DOB

SSN

State

Ownership %

Zip Code

Email

COMPANY BANK REFERENCES - INCLUDE LAST THREE (3) MONTHS OF STATEMENTS

How Long

Bank Name

Checking Acct #

Contact Name

Savings Acct #

Phone #

Loan Acct #

EXISTING LOAN / LEASE REFERENCES

Lender

Original Cost

Start Date

Term

Balance

Balloon

Lender

Original Cost

Start Date

Term

Balance

Balloon

VEHICLE INFORMATION

Cost

Down Payment

Purchase Option

Preferred Term

Vehicle Description (yr, make, model, etc)

By signing below, the undersigned individual as principal of and/or guarantor for the applicant, authorizes White Peak Capital, its designee, assigns or potential assigns, to review his/her personal credit

profile provided by national credit bureaus in considering this Application and for the purpose of the update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. I/

We warrant that the information submitted herein is true and correct and hereby authorize that any bank, lending institution, supplier, person or consumer reporting agency should comply and furnish any

information Lessor deems necessary in connection with this Application. It is understood that the security deposit is not refundable unless the application is rejected by Lessor. Further, I/We warrant it is

understood that Lessor reserves the right to reverse any credit decision if the information contained herein is found to be incorrect, and I/We will indemnify Lessor for any and all costs incurred with this

application for credit including any cost incurred in the placement or reservation of the intended leased equipment based on the information contained herein.

Signature

Date

Signature

Date

12601 NE Woodinville Dr., Suite B-2, Woodinville, WA 98072 | Phone (206) 877-4400

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