United Truck Rental and Equipment Leasing, Inc
Cash Profile Application - For Rental Use Only
Print Form - Fill Out
Last Name___________________________ First Name_________________________ MI____________
Home Street Address__________________________________________________________________________
City________________________ State___________________ Zipcode____________________________
Own______________ Rent________________
Social Security Number:______________________ Phone Number________________ mobile # Not Acceptable
As a reference if you are renting please include your landlords name and phone number________________________________
Name of Employer____________________________________________________________________________________
Street Address______________________________________________________________________________________
City_______________________ State______________ Zipcode_______________________________
Phone_______________________ Contact Name___________________________________________________
Application must be accompanied by 2 current utility bills and address must match renter's profile.
Valid drivers license (If out of country drivers license - valid passport must be available w/International Drivers License)
A refundable deposit of $300 must be made in addition to the rental of vehicle.
The deposit must remain in tact and cannot be used for payment of rental.
_______ I acknowledge that I must remain current on all payments due to United Truck Rental for the Time/Mileage and any additional service I elect to purchase under this agreement.
____________________________________________________________________________________
Customer Signature
RA#_____________________________________________