Financing Application

To apply for financing, please fill out the following form and hit submit.

You can also print out the following application, complete and fax to (314) 868-3852.
Download Application

New Trailer Model:	VIP4000 VIP Maxcube VXP Composite
Requested Specifications:
New Flatbed Model (Transcraft):	Eagle Eagle II Drop Deck
Requested Specifications:
New Flatbed Model (Benson):	524 524 Drop Deck 724
Requested Specifications:
Type of Business:	Individual Partner Corporation LLC Chamber of Charter
Tax ID#:
License#:
ICC Number:
Full Name:
Birth Date(month/day/year):
Social Security#:
Business Address:(address,city,state,zip)
County:
Business Phone Number:
Fax Number:
Spouse:
Spouse Birth Date(month/day/year:
Spouse Social Security Number:
If Partnership or Corporation
State of Organization or Inc.:
Name:
Social Security#:
Ownership ‰:
Name:
Social Security#:
Ownership ‰:
Name:
Social Security#:
Ownership ‰:
Operating Information:
Number of tractors and trucks owned/leased:	Trucks: Trailers:
Years Experience:	As Owner: As Driver:
Previously Filed for Bankruptcy:	YES NO  Repossession: YES NO
Contracts to Haul Currently:
Business Name:
Start Date:
Contact Name:
Phone Number:
Business Name:
Start Date:
Contact Name:
Phone Number:
Business Name:
Start Date:
Contact Name:
Phone Number:
Financing Information
(Who Financed/Leased Previous Truck/Trailer Purchases?)
Business Name:
Account Number:
Phone Number:
Business Name:
Account Number:
Phone Number:
Agreement The information given is true and correct to the best of my knowledge. I authorize River-Roads Sales & Leasing to receive this information and to process this information to set up financing or leasing for myself or my company. I also authorize River-Roads Sales & Leasing employees, sub contractors, or assignors to receive information from any credit reporting agencies, finance companies, banks, or any other finance or credit references about me or my company as needed. This shall be a continuing authorization for all present and future disclosures for me or my company.
Name of Applicant:
Title:
If you have any questions about financing or leasing, please call us at (314) 553-9005