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Opening hours : Mon-Fri 8h-15h
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Opening hours : Mon-Fri 8h-15h
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Get a truck repair loan now
Get a truck repair loan now
Online Application
newtrufco
2022-01-31T19:04:14+00:00
Vehicle Information
Year
*
Make
*
Model
*
Odometer Reading
*
Vehicle Colour
*
Vehicle Identification Number (V.I.N)
*
License Plate
*
Insurance Company
*
Policy Number
*
Is truck driving your main source of income?
*
Yes
No
What is the main route you drive? From where to where?
*
Are you operating under a company name or under your name?
*
Name
Company
CVOR Number
*
Operating Under a Company
Company Name
*
Business Number
*
Company Address
*
How long have you been in business?
*
How many trucks do you have in your fleet?
*
How many full-time employees do you have?
*
Average monthly revenue
*
Have you owned another trucking company in the past?
*
Yes
No
Past Company Name
*
When was the last time the vehicle was fully inspected by a mechanic?
*
Where do you store your vehicle when you aren’t using it?
Full name of the building or land owner
*
Phone No
*
Email Address
*
Address
*
Lease or Own Your Truck
Do you lease or own the truck?
*
Lease
Own
Leased Truck
How long have you owned your truck?
*
What is the balance on your lease?
*
What is the buy back amount of your leased truck?
*
Leasing Company Name
*
When does your lease end?
*
Monthly lease payment
*
Truck Owner
Do you have loan on your truck?
*
Yes
No
Loan balance
*
When loan balance will be paid in full?
*
Loan monthly payment
*
Repairer (“Assignor”)
Do you have an estimate from a repair centre?
*
Yes
No
Centre Name
*
Phone No
*
Email Address
*
Address
Estimate days to repair
*
Estimate cost for the repair
*
What kind of repair do you require?
*
To the best of your knowledge, does your truck already have a garagekeeper’s lien placed against it?
*
Yes
No
Applicant Information
First Name
*
Middle Name
*
Last Name
*
Date of Birth
*
Phone No
*
Cell No
Other No
Email Address
*
Address
*
Do You Own a House or Rent?
*
I own a house
I rent
Length of residence in current address
*
Previous Address (if less than 2 years at current)
*
Monthly Income
*
Driver License Number
*
Other Asset
Do you own any other assets?
*
Yes
No
Other Assets
*
Car
Mobile Home
Trailer
RV
Other
More Info
Are you under bankruptcy protection?
*
Yes
No
Did you ever file bankruptcy?
*
Yes
No
Trustee
Bankruptcy File Number
*
Trustee Name
*
Trustee Phone No
*
Trustee Email
*
Discharge Date
*
Total Bankruptcy
*
Personal Reference
Name
*
Phone No
*
Name
*
Phone No
*
Other Employment
Do you have other employment?
*
Yes
No
(please fill out “Other Employment” below if YES)
Employer Name
*
Length of employment time
*
Employer Contact Name
*
Phone No
*
Job title
*
Salary
*
Co-Applicant Information
Do you have Co-Applicant? •
*
Yes
No
First Name
*
Middle Name
*
Last Name
*
Date of Birth
*
Phone No
*
Other No
Email Address
*
Length of residence in current address
*
Address
*
City
*
Province
*
Postal Code
*
Previous Address (if less than 2 years at current)
*
Agreement
Policy Agreement
*
I, the undersigned, consent to the collection and use of my personal information by TRUFCO and/or its third-party service providers in respect of a repair loan. By applying, I agree to TRUFCO’s Wireless Policy, Privacy Policy and Terms & Conditions outlined in the repair loan agreement and on TRUFCO’s website. I further acknowledge that I must receive authorization from TRUFCO for all work/repair performed by the repairer. I am fully responsible for payment of any repairs until I sign a contract for a repair loan with TRUFCO. I certify that the information on this form is true and complete and that the information on this form shall supersede information previously provided. I understand that if I knowingly make a false statement or misrepresentation in the application or other document or willfully provide any false or misleading information, I plead guilty of offence and accept full liability for a fine or summary conviction.
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