Fleet / Owner Operator Application

Bullet Trucking, Inc.
7651 Center Point 70 Blvd
Dayton, OH 45424

(answer all questions - please print)

Date of Application:
Owner Operator Fleet
Name:

Last

First

Middle
Address:

Address

City

State

Zip

Phone

Trctor(s)

Tractor 1:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Tractor 2:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Tractor 3:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Tractor 4:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Tractor 5:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Tractor 6:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Tractor 7:
Year: Make:
State Plated In: Plate:
VIN: Type: DayCab Sleeper
Unladen Weight: States Apportioned For:

Please read and sign this application.

This certifies that this application was completed by me, and that all entries on it and information in it are complete and true to the best of my knowlege.

I authorize you to make such investigations and inquiries of my personal, financial or employment and other related matters as may be necessary in arriving at a decision. I hereby release employers and other persons from any liability in responding to inquiries and releasing information in connection with this application.

I also understand that, I am required to abide by all rules and regulations of the Company.

(If you are a driver or if someone else is driving your equipment please have the driver(s) complete the Driver Application.)

Date:
Email Address:
Signature:
(Type Full Name)