Online Application

To begin the application process for any of the TEL services, please fill out the below application and click SUBMIT at the bottom.

Business Information

Business Name

Entity Type

Tax ID

Business Address

Billing Address

Phone Number

Fax

County

Time at Present Address (years)

Time in Area (years)

Driver Information

Nature of Business

Time in Business (years)

Time Under Current Control/Management (years)

First Truck/Trailer Purchase

County

Time as a Truck Driver (years)

Time as CDL Driver (years)

Principal to Drive?

Equipment Owned

Reason for Purchase

Number of Employees

Prior Bankruptcy(s)

Is the Company a Defendant in a Legal Action?

Any Repo History?

Owner/Principal Information

Owner/Principal Name

Title

Social Security Number

Ownership Percentage

Annual Income $

Home Address

Phone/Cell

Phone 1

Phone 2

Phone 3

Net Worth $

Haul References

Company Name

Contact

Phone

Length of Relationship

Types of Hauls

Trade References

Company Name

Contact

Phone

Length of Relationship

Types of Purchases

Buy/Sell/Lease