By checking the box, you agree to the terms below.
By executing this application, the company and each of the undersigned person(s) certifies to the following
: The information set forth in this application and in the documents, schedules, reports,
statements and/or other information provided to Diversified Transportation Finance, Inc.
(DTF) with or pursuant to this application are full, true, correct and complete and accurately
reflect such information on the date(s) thereof; that owners/officers that DTF deems necessary and
appropriate; that DTF is authorized to execute in the name of the Business and the undersigned person(s)
and file against the Business and the undersigned person(s) in favor of DTF financing statements with
respect to the Business and undersigned person(s) assets and that DTF is authorized to inquire of
, investigate, confirm and verify any information contained in this application in any documents, schedules
, reports, statements and/or other information provided under or pursuant to this application or
learned by DTF as part of its investigation and review and the subsequent maintenance and review of any
account opened as a result of this application.
Authority: The undersigned hereby warrants that he/she is an authorized representative of the company
and has the authority to sign this application on behalf of the Applicant. The undersigned understand
and acknowledges that this authority will be relied upon by DTF for each and every instance DTF extends
services to Applicant and that DTF would not extend services to Applicant in the absence of this authority.
- IMPORTANT INFORMATION AND PROCEDURES FOR OPENING A NEW ACCOUNT -
To help the government fight the funding of terrorism or money laundering activities,
federal law requires all financial institutions to obtain, verify and record information
that identifies each person who opens an account. What this means for you: When you open an account
, we will ask for your name, address, date of birth and other information that
will allow us to identify you. We may also ask to see your driver's license or other