Used Fire Truck Funding Bid Request

Please complete the form below. This will give us more information about you and your needs, the specifications of the fire truck you need, or the fire truck you are needing to have financed, so we can service you better.

We can and we will help any fire department or municipality obtain financing in their acquisition of a used fire trucks. Please note that we do not require any up front fees.

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Contact Information: **Required Fields*

Buyer's Information

*Name
*Title
*Department Name
*Address*
*City*	State Zip
*Telephone	*FAX*
*Cell phone
*E-mail
Web Address

Seller's Information

If Purchased Through a
Local Apparatus Dealer or
Fire Dept. Selling Used Truck

Dept. Name
Contact Name
Title
Cell Phone #

Buyer's Basic Financial Information

Contracting Authority	Fire Dept. Municipal County
Dept. or Municipal Approval Already Granted?	Yes No
Applied for Fed/State Grant?	Yes No
Total Amount of Acquisition or Project to be Financed	$
Amount of Down Payment Available	$ If $0, input $0
Total Amount Financing Needed	$

General Apparatus Information:

Year Manufactured?
Type of Apparatus/Equipment
Manufacturer
If Purchased Through a Local Apparatus Dealer or Fire Dept. Selling Used Truck	Company Contact Phone #
Road Miles
Pump Hours
Ladder Hours	Type "N/A" if not aerial/quint
Refurbishing Info (Used)	Refurb Year Description

Description of Apparatus

Cab	Total Seats SCBA Seats
Chassis Type
Chassis Manufacturer
Engine	Diesel Gas Engine H/P =
Transmission	Specify Type or Preference
Generator	KW Unknown = ?
Scene Lighting	KW Unknown = ?
Booster Tank Size Capacity	Tank Type
Pump	Capacity GPM
Foam	Yes No Specify Type .
Aerial & Quint Sticks	Platform? Yes No
Other Apparatus Equipment Included
Other Information and Description of Apparatus

Equipment Information: (Please provide us with information regarding any equipment included with the sale of the used fire truck.

Equipment Included Quantity and Description
Equipment Financing Needed	$

Comments and Further Information for Us to Consider: (Please give us more information regarding the used fire truck you are wishing to purchase)

By submitting this form, you are providing us with general information to determine how we might help you, try to find the lowest cost financing available for a used fire truck. It is therefore expressly understood that submission of this form by no means guarantees that we will fund the used fire truck you are seeking to purchase.

Contact Information: *Required Fields

Contact Information: **Required Fields*