Credit Application

Download Application

Or Fill The Form Below

Business Information
Company Name*
Type of Business*
Taxpayer ID Number*
State of Incorporation*
When Incorporated*
Number of Employees*
Years in Business*
Company Address
Company Address*
City State ZIP Code
Primary Contact
First Name*
Last Name*
Title*
Phone*
Email*
Nature of Business*
Ownership Information
Name*
Title*
Percentage of Ownership*
Social Security No.*
Date of Birth
Date of Birth*
MM slash DD slash YYYY
Additional Owner?
Additional Owner Information
Name*
Title*
Percentage of Ownership*
Social Security No.*
Date of Birth
Date of Birth*
MM slash DD slash YYYY
Consent
The undersigned represents that this application is for credit for business purposes only and all information provided with this Application is true and correct, and hereby authorizes Davis Machine, LLC and its designee, assigns or potential assigns and its and their affiliates or any lending source to whom this application is submitted (collectively, "Creditors") to obtain from credit bureaus and other third parties, and share, information any of them deems necessary to arrive at a decision regarding this Application, including credit and criminal background checks. By signing below, the applicant and undersigned individual(s) as principal of and/or guarantor for the applicant, authorizes all such Creditors to review and share its/his/her personal credit profile provided by a national credit bureau in considering this Application and for the purpose of update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. Additionally, this authorization permits Creditors to share and exchange information and to request, obtain and review bank, financial or other information from past, present or potential Creditors. I authorize all deposit, borrowing, financial and trade information to be released by telephone or fax. A photocopy or fax of this authorization shall be valid as the original. To help fight terrorism and money laundering, Federal Law requires banks to verify the information you provide, which may include driver's license or other documents, to identify you. The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, gender, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning us is Federal Trade Commission, Equal Credit Opportunity, Washington DC 20580.
Consent*
I agree to the terms and conditions specified above.
Consent*
By signing below, you. Understand that you are providing 'written instructions' under the Fair Credit Report Act authorizing the credit grantor to obtain information from your personal credit profile or other information from a consumer reporting agency. You authorize this credit guarantor to obtain such information solely to apply for credit.
Signature of Applicant
Signature of Applicant*
Date
Date*
MM slash DD slash YYYY

Our Mission

Davis Machine, LLC is based out of Azle, TX providing service across the United States since 2005. We have access to a wide variety of machinery, ranging from tractors, trailers, dumps, and day cabs. If we do not have what you are looking for, we will locate what you desire.

Quick Links

Follow US

© Copyright 2021 Davis Machine, LLC | All Rights Reserved.