Daimler
Truck Financial AUTHORIZATION TO CONDUCT CREDIT INVESTIGATION
AUTHORIZATIONS, REPRESENTATIONS, AND WARRANTIES
TFFF2396 (08/26/2015)
If applying for credit, please sign this authorization (“Authorization”). By signing this Authorization:
Authorizations
1. I authorize Dealer, Mercedes-Benz Financial Services USA LLC, (“MBFS”), Daimler Trust and any finance company, bank, or other financial institution to which
the Dealer or MBFS and/or Daimler Trust submits my application (“You” or “Your”) to investigate my credit and employment history (if an individual), obtain
credit reports, contact any of my current or former creditors to verify any information contained herein or received in connection with this Authorization or the
accompanying credit application which You deem relevant to the possible extension of credit to me (“Information”), and release Information about Your credit
experience with me as the law permits. I authorize MBFS or Daimler Trust to disclose Information to any affiliate, assigns or agent.
2. If an account is created, I authorize You to obtain credit reports for the purpose of reviewing or taking collection action on the account, or for other legitimate
purposes associated with the account.
3. If I am an individual, I authorize the release of federal and state records of my employment and income history.
4. If required by the transaction, I authorize MBFS or Daimler Trust to file a UCC Financing Statement.
5. I consent and agree that MBFS, Daimler Trust, and any successors, affiliates, agents or service providers may to the extent permitted by law; (i) monitor and
record telephone calls concerning my account to assure quality of service or for other reasons; and (ii) use written, verbal, and electronic means to contact me,
including, without limitation, manual calling methods, prerecorded or artificial voice messages, text messages, e-mails and/or automatic dialing systems. Such
means of contact may include use of an e-mail address or any telephone number I provide, now or in the future, including a cellular phone or other wireless
device number, regardless of whether I incur charges as a result.
Representations and Warranties
6. I hereby represent and warrant that I intend to use the purchased or leased Equipment primarily for business or commercial purposes, and not for personal,
family, household or agricultural purposes. Generally speaking, the term agricultural purposes does not mean over the road transportation or hauling of goods.
7. I hereby represent and warrant that a bankruptcy proceeding is neither in progress nor expected.
8. If the accompanying credit application is submitted in the name of a business, a current and year-end financial statement, including P&L statement and balance
sheet, may be required, audited if possible. I hereby represent and warrant that I will notify MBFS and Daimler Trust if I become aware of any material change in
my financial condition.
9. If Applicant or Co-Applicant is a business entity, the signer for that entity hereby represents and warrants that he/she has authority to sign on behalf of the
business entity.
CALIFORNIA RESIDENT: Applicant, if married, may apply for a separate account.
MAINE, RHODE ISLAND, AND TENNESSEE RESIDENTS: You must have physical damage insurance covering loss or damage to the vehicle for the term of any contract.
For a lease, you must also have the liability insurance as described in the lease. You may buy this insurance from anyone you choose. You do not have to buy it from or
through someone affiliated with the dealer or an assignee of this contract. Your choice of insurance will not affect the credit approval process unless the insurance does
not satisfy the contract requirements or the insurance company does not satisfy the reasonable standards of the dealer or an assignee of the contract.
NEW YORK RESIDENT: Consumer reports may be requested in connection with this application. Upon your request, you will be informed as to whether or not a
consumer report was requested and informed of the name and address of the consumer reporting agency that furnished the report. On any update, renewal or extension
of this credit, subsequent consumer reports may be requested.
OHIO RESIDENT: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting
agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
JOINT CREDIT
[ ] If applying for joint credit with another person, complete the co-applicant section of the Credit Application.
Sign or initial here to indicate that you intend to apply for joint credit. x ______________ x _______________
APPLICANT CO-APPLICANT
I certify that I have read and agree to the terms of this Authorization and the accompanying credit application and that the information in both documents is
complete and true.
Applicant Name (print): __________________________
Applicant Signature: _____________________________
Guarantor Name (if applicable-print): __________________________
Guarantor Signature: ___________________________________
Title: ___________________________________
(Only applicable if Applicant is NOT an individual)
Date: ______________________
Title: ___________________________________
(Only applicable if Guarantor is NOT an individual)
Date: ______________________
Co-Applicant Name (print): __________________________
Co-Applicant Signature: __________________________
Guarantor Name (if applicable-print): __________________________
Guarantor Signature (if applicable): _________________________
Title: ___________________________________
(Only applicable if Co-Applicant is NOT an individual)
Date: ______________________
Title: ___________________________________
(Only applicable if Guarantor is NOT an individual)
Date: ______________________
Please bring the completed form
to your nearest dealer.
