Thank you for taking the time to apply for the DB Kustom Trucks program. The application is a two part process:

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1 Thank you for taking the time to apply for the DB Kustom Trucks program. The application is a two part process: 1. Apply to drive for Quality Carriers, North America s largest tank truck company. 2. Apply for financing to purchase your own DB Kustom Truck along with the guidance and help of two of the country s premier Owner Operators to insure your success. Once the applications are completed, you will be contacted by a DB Kustom Truck specialist to help walk you through the process and into your Kustom ride as quickly as possible. Please follow the two application guides in this packet to insure our specialists have all the information they need to help get you into your new Kustom truck as quickly as possible. Thank you for your interest in our Kustom truck program and the entire DB Kustom Trucks Team looks forward to working with you. The DB Kustom Trucks Team.

2 Please go to the website address below to complete an application: work4qc.com Once at the website address: Click on the button in the upper right hand corner to access the online application. Complete all information requested. On the second page, please select the following from the drop down boxes for the following questions: Once the application is completed please submit. The DB Kustom Trucks specialist will be in touch with you to complete your application and to schedule you into our training program.

3 Please complete the following documents: Credit Application ("Individual Purchaser ment") Complete Legible No White Out Original Signature (no stamped signature) Crossroads Reference Sheet Top Section Only (Personal References; Business not needed) Complete Legible No White Out Copy of your valid CDL Front and back copies. Enlarged Clear Copy Utility Bill From within the past 30 days Pay Stub/Settlement From within the past 30 days Return all five completed documents to: Jessica Fernandez Fax: (813)

4 CROSSROADS EQUIPMENT LEASE & FINANCE, LLC INDIVIDUAL PURCHASER/LESSEE STATEMENT Dealer : Dealer Phone: Type of Application: Business Individual Used New Retrofit Dealer Fax: Salesperson s : 1st Full : Time Buyer Ownership Exp. INDIVIDUAL/PARTNERSHIP INFORMATION: Number of trucks you currently: Operate: Social Security Number: Date of Birth: Own: Home Pager Number Cell Address Present Physical/Mailing A ddress: County: Zip: How Long at Present Address? Years: Months: Previous Address (If less than 2 years) Rent Own Live with relatives Monthly Payment: Co-Buyer Co-Buyer s SSN: Co-Buyer s : Present Physical A ddress: County: Zip: Employer Time on job Income NEAREST RELATIVES/PERSONAL REFERENCES NOT LIVING WITH YOU: A ddress Zip Phone CORPORATION/LEGAL ENTITY INFORMATION (If Applicable) Exact Legal of Corporation/Legal Entity: Inc. LLC Other Federal ID# Year of Organization Principal Officer Social Security Number Title % Owned US DOT Number MC Numbe r CURRENT EMPLOYMENT INFORMATION Total Years of Driving Experience Years as Owner Operator Y ears as Company Driver : Phone: Y ears at Current Employer Months Income Company Driver Owner Operator Other Source / FUTURE EMPLOYMENT Other Annual Income Amount Monthly Miles Monthly Revenue Paid /mile % of Gross PREVIOUS EMPLOYERS Products to be Hauled Commercial DL# Trucks/Trailers Owned Description of Collateral LESSEE STATEMENT Lending Institution / Phone # Account # Real Estate Lending Institution / Phone # Account # Autos Owned Lending Institution / Phone # Account # Bank Account Type Institution / Phone # Account # Authorization to Release Credit Information The undersigned certifies that: (a) all of the information contained herein or provided in connection with this Application is true and correct and accurately describes the financial condition of the Customer(s) as of the date hereof; and (b) I will notify Crossroads Equipment Lease & Finance LLC, its successors and assigns ("Creditor") if I become aware of any material change in the financial condition of the Customer(s). I hereby authorize Creditor and/or Dealer to make inquiry into, to request, and to receive any information concerning my financial condition, including, but not limited to, obtaining a credit report and contacting any current or former creditors of Customer(s) to verify any information contained herein or received in connection with this Application, which Creditor and/or Dealer deems relevant to the possible extension of credit to Customer(s) ( Information ). I also grant any such creditors permission to release Information to Creditor and/or Dealer. I authorize Creditor to disclose Information to any affiliate, assigns or agent. I authorize Creditor to file a UCC financing statement. I have applied for a loan or extension of credit from Creditor and I intend to use the purchased Equipment primarily for business or commercial purposes, and not for personal, family, household or agricultural purposes. The foregoing provision shall remain in effect until Customer pays Creditor in full (if Creditor decides to grant credit to Customer(s)). Applicant Signature: Title (if applicable): Date: Co-Applicant: Title (if applicable): Date:

5 Buyer/Borrower/Lessee and Address Account Number: Creditor/Lessor and Address Crossroads Equipment Lease & Finance, LLC 9121 Haven Avenue, Suite 270 Rancho Cucamonga, CA Date: PERSONAL REFERENCES Reference 1 Reference 2 Reference 3 Reference 4 Business References Trade References Bank References of Company: of : Account Number of Company: of : Account Number of Company: of : of Company: of : of Company: of : Account Number of Company: of : V CJR