Business Credit Application

Please complete all applicable fields. Fields marked as required must be completed to submit.

Primary Legal / CEO Address

Billing Address

Complete only if different from the primary address.

Fleet Manager

Garage Address

Business Contact Information

List each owner or guarantor. Use an additional application if more space is needed for multiple owners, guarantors or applicants.

Owner / Guarantor 1

Owner / Guarantor 2

Individual Applicant Information

Note: Sole Proprietor, Individual Co-Applicant(s) or Individual Guarantor(s) must complete this section.

Previous Employer / Business (if less than 2 years)

Income

* Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Mortgage / Rent

References

Credit History

List other creditors you do business with.

Bank Reference

Trade Reference

All of the below information is tentative and subject to the terms and conditions of the applicable approval letter. Use an additional application for more vehicles.

Vehicle 1

Vehicle 2 (optional)

Trade Detail

Vehicle Usage

Terms

Pricing

Authorization

By submitting this application, each undersigned party certifies that the information provided is true and complete, and authorizes Nissan Motor Acceptance Company LLC (“NMAC”) to check credit and employment histories, verify income, obtain credit reports, and share information with its affiliates, credit reporting agencies and parties involved in the sale, assignment or securitization of any credit granted. Each party also consents to NMAC, its affiliates, agents and service providers monitoring and recording calls and contacting them by phone, text, email or automated means at any number or email address provided.

Applicant

Co-Applicant (if applicable)

Guarantor (if applicable)