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Credit Application
CAPSTAR Corporation
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Credit Application
COMPANY INFORMATION
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" indicates required fields
Applicant Legal Name (Company or Person)
*
DBA Name (if any)
Type of Entity
Select Entity
Sole Proprietorship
Partnership
Corporation
LLC
Street Address
City
State
Alabama
Alaska
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District of Columbia
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Utah
Vermont
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Washington
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Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP
Phone
Cell
Email
Business Website (if any)
Age of Business
Are you working with a specific person here at CapStar?
No Specific Person
Danny Hernandez
Dan Dew
John Mazz
Jim Yarbrough
Anthony Hernandez
Chuck Barrow
Other
How did you hear about us?
I am a previous customer
Referred by dealer
Referred by friend
Facebook/Instagram
Google
Other
SELECT YOUR INDUSTRY
Industry
Trucking/Transport
Construction
Manufacturing
Other
Type of Business
FEI#
Products Hauled
Distance Range
Select
Local (one state)
Regional (several states)
Long Distance (national)
MC#
FEI#
CURRENT FLEET SIZE
# Tractors
# Trailers
Other Trucks and Equipment
This purchase is
Select
replacing other equipment that is being retired
additional equipment to grow our fleet
Owner/Guarantor #1
First and Last Name (Owner/Guarantor #1)
Title
% of Ownership
Street Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP
Own/Rent
Select
Own
Rent
Citizenship
Select
U.S. Citizen
Permanent Resident
Work permit
Other
Social Security Number
*
Date of Birth
Month
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Day
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Home Phone
Cell
Email
Years with a CDL
Owner/Guarantor #2
First and Last Name (Owner/Guarantor #2)
Title
% of Ownership
Street Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP
Own/Rent
Select
Own
Rent
Citizenship
Select
U.S. Citizen
Permanent Resident
Work permit
Other
Social Security Number
Date of Birth
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
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Year
2025
2024
2023
2022
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2020
2019
2018
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2016
2015
2014
2013
2012
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1962
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1953
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1951
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1947
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1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Home Phone
Cell
Email
Years with a CDL
Owner/Guarantor #3
First and Last Name (Owner/Guarantor #3)
Title
% of Ownership
Street Address
City
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP
Own/Rent
Select
Own
Rent
Citizenship
Select
U.S. Citizen
Permanent Resident
Work permit
Other
Social Security Number
Date of Birth
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Home Phone
Cell
Email
Years with a CDL
EQUIPMENT TO BE FINANCED
Item to be Financed #1 (Age, Make, Model)
Price
Item to be Financed #2 (Age, Make, Model)
Price
Item to be Financed #3 (Age, Make, Model)
Price
Item to be Financed #4 (Age, Make, Model)
Price
Dealer
Contact
Phone
HAULING REFERENCE
Hauling Reference Company Name
Contact
Phone
PREVIOUS FINANCING HISTORY
Comparable Financing References (if any)
Lender
Amount $
Lender
Amount $
Lender
Amount $
Authorization
*
By typing your name below, you affirm your identity, you certify that the information entered on this Credit Application is true and correct, and you authorize the release of all credit information pertaining to the Applicant, Owners and Guarantors, to CapStar Corporation and its assigns (including loans, leases, and personal credit reports). An electronic typed signature shall provide valid authorization as an original signature. A photostat or facsimile copy of this authorization shall be valid as the original. Such authorization shall extend to subsequent updates for credit or collection purposes. Federal Reserve Board regulations give applicants the right to request a written explanation of any declined application.
I/We agree to the authorization policy.
Date
*
MM slash DD slash YYYY
Authorization submitted by Owner/Guarantor #1
*
Authorization submitted by Owner/Guarantor #2
*
Authorization submitted by Owner/Guarantor #3
*