Industrial Tractor Company ... Your John Deere Construction Equipment Dealer
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Credit Application

To apply for John Deere Credit, please fill out the following credit application and submit.

Applicant
Legal Name:
Check One: Proprietorship 0Corp. 0L.L.C. 0Partnership
Other
Type of Business:
Years in Business:
Address:
City/State/Zip:
County:
Equipment Location: (State)
Equipment Location: (County)
Billing Address:
City/State/Zip:
Phone:
Fax Number:
Mobile Number:
Contact Name:
Tax Exempt # : (Must provide Tax Exempt number or Social Security number.)
Owner/Guarantor Information
Name:
Title:
Home Address:
City/State/Zip:
Social Security # : (Must provide Tax Exempt number or Social Security number.)
Ownership Percentage:
Credit
Have you previously done business with John Deere Credit? Yes 0No
  If Yes, Acct #
List other creditors you do business with:
Bank :
City/State:
Telephone # :
Contact:
Account # :
Finance:
City/State:
Telephone # :
Contact:
Account # :
Trade:
City/State:
Telephone # :
Contact:
Account # :
Equipment
Quantity: Manufacture/Make: Price:
New/Used: Model: Purchase Option:
Year:



Serial # :

Residual:

Quantity: Manufacture/Make: Price:
New/Used: Model: Purchase Option:
Year: Serial # : Residual:
Other Detail, Attachments, etc:
Trade Detail
Quantity: Manufacture/Make: Price:
New/Used: Model: Purchase Option:
Year: Serial # : Residual:
Insurance
Physical Damage Yes 0No 000Deductible $
Credit Life Yes0 No
Transaction
Check One: Sale0Lease 0Rental
Please note specific finance program or type of sale, lease or rental requested and any other details:
Other:
 
 



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