Rental Application – Busch Trailer Rentals

Busch Trailer Rental Application

Business Name

Company Type

Years In Business

Years Driving

#Trucks Owned/Financed

# of Drivers

First Name

Middle Name

Last Name

Social Security Number

Birthdate

Owner Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Owner Home Phone

Cell Phone

Home Address Since:

Do You?

Monthly Payment

Mortgage Holder/Landlord Name

Mortgage Holder/Landlord Phone

Mortgage Holder/Landlord Address

Address Line 1

Address Line 2

City

State

Zip Code

Drivers License #

State Issued

Expiration

Additional Business Owner

Additional Owner First Name

Middle Name

Last Name

Additional Owner Home Phone

Cell Phone

Additional Owner's Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Owner Primary Bank Account Location

Primary Checking Account (last 4 digits)

Date Account Opened

Linked Debit Card (last 4 digits Only)

Date of Expiration

List Any Other Signers

Is Direct Deposit Received into this Account?

Card Linked to Account Provided?

Primary Haulers/Load Providers

Phone 1

Phone 2

Primary Hauler/ Load Provider Address

Address Line 1

Address Line 2

City

State

Zip Code

Type of Freight

Primary Pick up/Drop-Off Locations

Pay Cycle/Day

#1 Company Hauler Revenue

#2 Company Hauler Revenue

#3 Other Revenue

Total Monthly Revenue

First Name of Parent or Relative (not living with you)

Last Name

Relationship

Phone

First Name of 2nd Reference (not living with you)

Last Name

Relationship

Phone

2nd Reference Address

Address Line 1

Address Line 2

City

State

Zip Code

Spouse Name

Social Security

Phone

Spouse Employer

Employer Phone

Comments (optional)

I have read and agree to the Terms and Conditions and Privacy Policy

Additionally, I understand and agree that my name, social security number, birthdate and address may be used to obtain a current credit report from one the the credit reporting agency's and could effect the decision to rent a trailer. THERE IS AN APPLICATION FEE OF $15.00 TO RUN THE SOFT CREDIT CHECK, PAYABLE UPON APPLICATION. You may obtain a Summary of Your Rights Under the Fair Credit Reporting Act at: https://www.consumer.ftc.gov/sites/default/files/articles/pdf/pdf-0096-fair-credit-reporting-act.pdf

The credit bureau does not make the decision to deny credit. In the case of denial, you may contact the credit bureau for a free copy of your credit report within 60 days of denial.

Terms and Conditions:

Applicant authorizes Busch Trailer Rentals and/or its representatives and affiliates, including but not limited to third party collection agencies and their agents, subject to applicable law, to contact Applicant at any number or email address listed above, and to contact any other persons or companies that it deems necessary, including but not limited to those listed above, in order to verify or obtain information that Busch Trailer Rentals requires in connection with Applicant’s rental application or any transactions between Applicant and Busch Trailer Rentals, or in collecting or attempting to collect any debt(s) that Applicant owes to Busch Trailer Rentals. Applicant consents to receiving automated recordings, SMS text messages, and emails from Busch Trailer Rentals. Applicant understands that SMS text messages to Applicant’s wireless telephone number(s) may result in charges from Applicant’s wireless carrier(s), and Applicant agrees to pay said charges. Applicant agrees that if Applicant wishes to opt-out from SMS text messages, emails, and/or telephone calls from Busch Trailer Rentals LLC, Applicant will contact Busch Trailer Rentals in writing at 3131 West Harrison ST. Phoenix, AZ 85009. Applicant authorizes Busch Trailer Rentals LLC to request and receive credit reports from time to time pertaining to Applicant from any Credit Reporting Agency, which reports may contain information bearing on Applicant’s creditworthiness and criminal history, among other information.

WARNING: It is important to fill out this form accurately. By submitting this application, Applicant acknowledges and attests that all the information furnished above is true, correct, and complete.