Credit Application

Your new tractor package

$21,000

Please fill out this application completely. Any missing or incorrect information may prevent your application from being processed or cause delays.

If you have any questions, please call 877-694-5665 ext. 127 or email finance@dhmco.com. We look forward to earning your business!

* fields are required

Purchase $21,000 Tractor Package
Minimum to finance for tractors & tractor implements is $2500.00

Salesperson

Down Payment

Applicant

I have a co-applicant

First Name *

Middle Name

Last Name *

Social Security# *

Home Phone *

Cell Phone *

Email *

County of Residence *

Date of Birth *

Drivers License# *

Drivers License State *

Physical Address *

City *

State *

Zip *

Mailing Address (if different)

City

State

Zip

Employment Type *

Company *

Length of Employment *

years months

Primary Annual Income *

Additional Annual Income

Co-Applicant

First Name *

Middle Name

Last Name *

Social Security# *

Home Phone *

Cell Phone *

Email *

County of Residence *

Date of Birth *

Drivers License# *

Drivers License State *

Physical Address *

City *

State *

Zip *

Mailing Address (if different)

City

State

Zip

Employment Type *

Company *

Length of Employment *

years months

Primary Annual Income *

Additional Annual Income

Authorization

I/we authorize Dixie Trailer Works, Inc. to access my/our consumer credit report(s).

By electronically signing below you authorize Dixie Trailer Works, Inc. to access your consumer credit report. (Type your name below to signify your authorization.)

Primary Applicant:

Co-Applicant:

By your act of submitting this credit application to Dixie Trailer Works, Inc., you are certifying and attesting to the fact that the information contained herein is, in fact, your own personal information, and that you are, in fact, the person the information herein contained describes. You are authorizing us to share this information with potential lenders. You are authorizing us and potential lenders to check your credit report and employment history.