Factor Your Freight Fast with TruckingFactor.com






Today:

It's Never Been Easier to Convert Your Invoices to Cash!

  • Funding within 24 hours
  • Simple Application Process
  • Little or No Business History OK
  • Bad Credit OK
  • Small Trucking Companies OK
  • Freight Brokers OK
  • No Long Term Contracts
 

Freight Bill Factoring Application

Applying for invoice factoring at TruckingFactor.com is a quick and easy process!!!
Fill in our online application below and we will have an answer for you, usually on the same day.

If you prefer to print out an application instead, click here and fax it back to us at (877) 960- 1821. (You will need the free Adobe® Reader® to download the application.)

For immediate attention, feel free to call us, toll free, at (877) 960- 1818 and ask for an account representative.

 

Tell Us About Yourself

Applicant (Legal Business Name)
Street address
City
State Zip
County
Telephone
Cell phone
Fax
Email address
How did you hear about Charter Capital?


Business Information

Federal Tax ID #
Date business established
Legal form of business (pick one)
If your business is a sole proprietorship or partnership, list the legal names of the owners.



If your business is a Corporation or LLC, what is your Charter Number?
Describe your primary business activity
 
Does Applicant or any of its owners, partners or shareholders operate or have ownership in any other businesses or trade names? yes    no
If so, please list
 
Has Applicant or any owner ever filed bankruptcy? yes    no
If so, please give details
 
Have any liens or judgments been filed against Applicant or any owner? yes    no
If so, please describe
 
Is there any actual or proposed litigation relating to the Applicant or any owner? yes    no
If so, provide details
 
Is Applicant current on all Federal and State tax related payments and filings? yes    no
If not, please provide details
 
Have any of applicant’s owners, shareholders, or partners ever been convicted of a felony? yes    no
If so, please provide details


Ownership / Management

Name
Address
City
State
Zip
  If at current address less than 3 years, please list previous address
Address
City
State
Zip
Phone
Cell Phone
Title
% Ownership
Date of Birth
Social Security No.  
   
Name
Address
City
State
Zip
  If at current address less than 3 years, please list previous address
Address
City
State
Zip
Phone
Cell Phone
Title
% Ownership
Date of Birth
Social Security No.
Name
Address
City
State
Zip
  If at current address less than 3 years, please list previous address
Address
City
State
Zip
Phone
Cell Phone
Title
% Ownership
Date of Birth
Social Security No.
   
Name
Address
City
State
Zip
  If at current address less than 3 years, please list previous address
Address
City
State
Zip
Phone
Cell Phone
Title
% Ownership
Date of Birth
Social Security No.


Accounts Receivable Information

1. What is your accounts receivable balance?
Approximately how much did you invoice in the past 30 days?
3. Approximately how much did you invoice in the past 12 months?
4. Do Applicant’s receivables serve as collateral for any purpose? yes    no
If so, with whom?
5. Approximately how many active customers do you have?
6. What is your average invoice size?
7. Is Applicant or any owner related to any customer account? yes    no
If yes, list names
8. Does Applicant sell any goods or services to customers from which Applicant purchases goods or services? yes    no
If yes, list names
9. Has applicant (or an owner of applicant) ever factored its receivables before? yes    no
If yes, with what factoring company?
   

Customers

List top 5 Customers in order of monthly billing amount.


Customer Address Contact Telephone Avg. Sales/Mo.
 


Banking Information

1. Bank Name
2. City and State
3. Account number
4. Routing number
5. Does the Applicant have any outstanding Secured loans or leases?
yes  no
   


Secured Creditors

List Secured Transactions and Leases (Credits, Loans and Leases)
Lender's Name Contact Telephone Balance Description of Collateral
       

Vendor References

List 3 Primary Vendors

Vendor Name Contact Contact Telephone Balance Credit Limit
 

The undersigned understands that all information provided in connection with this form is for the purpose of aiding TruckingFactor.com in its consideration of entering into a contractual relationship with the Applicant. The above responses are true and accurate to the best of my knowledge and belief, and TruckingFactor.com may rely upon the same for all of its purposes. Furthermore, any party referenced in this form may rely upon this statement as authorization from Applicant to freely respond to any inquires made by TruckingFactor.com regarding Applicant.

1. Applicant
2. Submitted by
3. Title
4. Please type your initials here
to sign this document
5. Date (mm/dd/yyyy)



  


Our management & staff members have decades of experience in factoring accounts receivable for the trucking industry

TruckingFactor.com provides freight bill and freight broker factoring services, accounts receivable financing, and cash flow services nationwide including Houston, TX; Dallas, Texas; Austin, TX; San Antonio, Texas; Atlanta, GA; Albuquerque, NM; Phoenix, AZ; Nashville, TN; Indianapolis, IN; Oklahoma City, OK
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