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Illinois
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Lafayette– Trailer Repair
Iowa
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Davenport
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Wayne– Trailer Repair
Ohio
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North Chicago, IL: 847-453-5100
Indianapolis – Stoops: 317-788-1533
Anderson – Stoops: 765-644-1400
Edinburgh – Stoops: 812-703-9436
Fremont – Stoops: 260-495-2005
Fort Wayne – Stoops: 260-749-8587
Lafayette – Stoops: 765-446-0007
Lafayette Trailer Repair – Stoops: 765-477-2278
Cedar Rapids: 319-365-0531
Davenport: 937-236-4092
Decorah: 419-738-9684
Dubuque: 563-556-3773
Dyersville: 563-845-5094
Lima – Stoops: 419-228-4334
Dayton – Stoops: 937-236-4092
Wapakoneta – Stoops: 419-738-9684
Appleton: 920-766-5222
Madison/De Forest: 608-249-1090
Marinette: 715-735-7020
Milwaukee: 414-761-3384
North Milwaukee: 414-365-1253
Minocqua: 715-358-5200
Sheboygan: 920-395-9300
Shullsburg: 608-965-4462
Wausau / Rothschild: 715-359-9989
North Chicago, IL: 847-453-5100
Indianapolis – Stoops: 317-788-1533
Anderson – Stoops: 765-644-1400
Edinburgh – Stoops: 812-703-9436
Fremont – Stoops: 260-495-2005
Fort Wayne – Stoops: 260-749-8587
Lafayette – Stoops: 765-446-0007
Lafayette Trailer Repair – Stoops: 765-477-2278
Cedar Rapids: 319-365-0531
Davenport: 937-236-4092
Decorah: 419-738-9684
Dubuque: 563-556-3773
Dyersville: 563-845-5094
Lima – Stoops: 419-228-4334
Dayton – Stoops: 937-236-4092
Wapakoneta – Stoops: 419-738-9684
Appleton: 920-766-5222
Madison/De Forest: 608-249-1090
Marinette: 715-735-7020
Milwaukee: 414-761-3384
North Milwaukee: 414-365-1253
Minocqua: 715-358-5200
Sheboygan: 920-395-9300
Shullsburg: 608-965-4462
Wausau / Rothschild: 715-359-9989
North Chicago
Indianapolis – Stoops
Anderson – Stoops
Edinburgh – Stoops
Fremont – Stoops
Fort Wayne – Stoops
Lafayette – Stoops
Lafayette Trailer Repair – Stoops
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Lima – Stoops
Dayton – Stoops
Wapakoneta – Stoops
Appleton
Madison/De Forest
Marinette
Milwaukee
North Milwaukee
Minocqua
Sheboygan
Shullsburg
Wausau / Rothschild
North Chicago
Indianapolis – Stoops
Anderson – Stoops
Edinburgh – Stoops
Fremont – Stoops
Fort Wayne – Stoops
Lafayette – Stoops
Lafayette Trailer Repair – Stoops
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Lima – Stoops
Dayton – Stoops
Wapakoneta – Stoops
Appleton
Madison/De Forest
Marinette
Milwaukee
North Milwaukee
Minocqua
Sheboygan
Shullsburg
Wausau / Rothschild
Profile
Saved Trucks
Saved Trailers
Saved Parts
Exclusive Posts
Saved Trailer Showroom
Saved Truck Showroom
Trucks
Showrooms
Freightliner
Western Star
Autocar
Wabash
New Inventory
Freightliner
Western Star
Autocar
Used Inventory
Electric Trucks
Build Your Cascadia
Spotter Trucks
Used Semi-Truck Warranty
Semi-Truck Financing
Trailers
Trailer Locations
Indy – Trailer Repair
Lafayette – Trailer Repair
Wayne – Trailer
Trailer Services
Trailer Parts
New Inventory
Used Inventory
Trailer Financing
Parts
Specials
Excelerator Parts
Parts Credit App
Trailer Parts
Parts Request
Tax Exempt Form
Invoice Statement Form
Services
Trailer Services
Semi-Truck Body Shop
Indianapolis
Lima
Shullsburg
Elite Support
Express Assessment
Schedule Service
Service Credit App
Invoice Statement Form
Stoops December Specials
Locations
Illinois
North Chicago
Indiana
Anderson
Edinburgh
Fort Wayne
Fremont
Indianapolis
Indy– Trailer Repair
Lafayette
Lafayette– Trailer Repair
Iowa
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Michigan
Traverse City
Wayne– Trailer Repair
Ohio
Dayton
Lima
Wapakoneta
Wisconsin
Appleton
Madison
Marinette
Milwaukee
Minocqua
North Milwaukee
Sheboygan
Shullsburg
Wausau / Rothschild
Careers
Diesel Technicians
Current Openings
General Application
Training
Stoops Training
Truck Country Training
About
History
Sister Companies
Contact Us
Podcast
Safety Training
News
Menu
Trucks
Showrooms
Freightliner
Western Star
Autocar
Wabash
New Inventory
Freightliner
Western Star
Autocar
Used Inventory
Electric Trucks
Build Your Cascadia
Spotter Trucks
Used Semi-Truck Warranty
Semi-Truck Financing
Trailers
Trailer Locations
Indy – Trailer Repair
Lafayette – Trailer Repair
Wayne – Trailer
Trailer Services
Trailer Parts
New Inventory
Used Inventory
Trailer Financing
Parts
Specials
Excelerator Parts
Parts Credit App
Trailer Parts
Parts Request
Tax Exempt Form
Invoice Statement Form
Services
Trailer Services
Semi-Truck Body Shop
Indianapolis
Lima
Shullsburg
Elite Support
Express Assessment
Schedule Service
Service Credit App
Invoice Statement Form
Stoops December Specials
Locations
Illinois
North Chicago
Indiana
Anderson
Edinburgh
Fort Wayne
Fremont
Indianapolis
Indy– Trailer Repair
Lafayette
Lafayette– Trailer Repair
Iowa
Cedar Rapids
Davenport
Decorah
Dubuque
Dyersville
Michigan
Traverse City
Wayne– Trailer Repair
Ohio
Dayton
Lima
Wapakoneta
Wisconsin
Appleton
Madison
Marinette
Milwaukee
Minocqua
North Milwaukee
Sheboygan
Shullsburg
Wausau / Rothschild
Careers
Diesel Technicians
Current Openings
General Application
Training
Stoops Training
Truck Country Training
About
History
Sister Companies
Contact Us
Podcast
Safety Training
News
PARTS CREDIT APPLICATION
Step
1
of
3
33%
Company or Individual Name
(Required)
Mailing Address
(Required)
City
(Required)
State
(Required)
Zip
(Required)
Shipping Address
(Required)
City
(Required)
State
(Required)
Zip
(Required)
Business Phone
(Required)
Fax
Cell Phone
Yrs. in Business
Trucks in Fleet
Federal Employer ID No./FEIN #
(Required)
No. of Employees
Business Type
(Required)
C Corp
S Corp
LLC
Partnership
Proprietor
Government Entity
If your business is classified under C Corp, please complete.
Publicly Traded
Private Company
If Publicly Traded, state your stock ticker.
(Required)
Domicile of Lease/Rental Truck–City
State
Accts Payable Contact Name
(Required)
A/P Phone
(Required)
A/P Fax
Accts Payable E-Mail
(Required)
Requested Line of Credit
(Required)
Are you leased out?
Yes
No
If yes, to whom?
Street Address
City
State
Zip
What Division of Truck Country and Stoops Freightliner will you primarily be doing business with?
(Required)
Truck Country of Iowa
Truck Country of Illinois
Truck Country of Wisconsin
Truck Country of Indiana - dba Stoops Freightliner
What Truck Country location will you primarily be doing business with?
Owners, Partners or Officers
Name
S.S. No
Title
Address
Tax Exempt
Are you tax exempt?
(Required)
Yes
No
If you are tax exempt, please certify this by checking the box below.
(Required)
I certify that all transactions are exempt from IN / OH / WI / IA / IL Sales Tax
REQUIRED: Please complete the appropriate tax exemption certificate and send with this application if you are tax exempt. If the tax exemption certificate(s) are not provided then you agree that taxes will be charged and will be your responsibility to pay.
Max. file size: 30 MB.
Do you require purchase order numbers on your invoices?
Yes
No
Truck Country/Stoops Confidential Credit Application
Company or Individual Name
(Required)
Credit References - Please Provide Two Bank References
1. Bank Name
Checking
Savings
Loan
Street Address
City
State
Zip
Phone
Account No
Contact
Truck Payment (if applicable) made to
Bank/Finance Company
Street Address
City
State
Zip
Phone
Account No
Contact
Major Trade References
Name
City/State
Fax
Phone
Customer Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Disclaimer Information
(Required)
I agree
The above signed hereby authorizes Truck Country to fully investigate all credit information available on applicant, and set reasonable credit limits on their account, if established. The above signed agrees to the following terms: Statements are rendered the 1st of the month and they are due by the 10th of the month. If we have not received payment by the 20th of the following month, the account will be classified as delinquent, and it will be placed on a credit hold status. Accounts past 30 days will be assessed a finance charge of 1.5% per month (18% APR). All collection and/or attorney fees will be added to account balance. If customer is tax exempt and does not provide the appropriate tax exempt certificates, then customer will be responsible for all taxes on invoices until the appropriate signed and dated tax exempt certificate is provided to Truck Country. All invoices and statements will be emailed to the Accts-Payable contact provided. If customer would like to opt of receiving invoices and statements through email they need to send the request to the Truck Country AR team at arcredit@truckcountry.com to opt out.
For the list of our current locations, please check our website at truckcountry.com.
The undersigned understands that Truck Country and/or its assignees will not process a credit order until after Truck Country or such assignees have conducted a credit investigation and determined, in its or their sole discretion, to approve the extension of credit to the undersigned. By submitting this Credit Application, the undersigned hereby authorizes a full and complete investigation by Truck Country and its assignees into the undersigned’s credit history. The undersigned further authorizes Truck Country and its assignees to conduct an investigation into the credit history of the undersigned’s proprietors, partners, shareholders, members and/or principals as Truck Country and/or its assignees see fit in its or their sole discretion. The undersigned hereby grants permission to all of the above credit references and further authorizes the use of this document (or a facsimile thereof) as consent for the release to Truck Country and its assignees of credit information by credit reporting agencies, credit bureaus, and the credit, banking and trade references supplied to Truck Country and its assignees by the undersigned. Truck Country and its assignee shall be further authorized to conduct periodic credit checks and reviews of the credit history of the undersigned and its proprietors, partners, shareholders, members and/or principals in order to continue the extension of credit to the undersigned.
Δ
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