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CREDIT APPLICATION

Individual

Step 1 of 3

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YOU ARE:*
- APPLICANT
- CO-APPLICANT
PRIMARY APPLICANT NAME:*
FIRST NAME*
MIDDLE INITIAL
LAST NAME*
CURRENT ADDRESS*
Street Address City State ZIP Code

*If less than 6 months, the bank may request for proof of residency ie., utility bill or lease contract.
HOW LONG?*
*
Months
PREVIOUS ADDRESS
Street Address City State ZIP Code

*Complete if you have less than 2 years at your current residence.
HOW LONG?
Years
Months
MOBILE NO.*
EMAIL*
SOCIAL SECURITY NO.*
DATE OF BIRTH*
Date Format: MM slash DD slash YYYY
DRIVERS LICENSE NO.*
LICENSED STATE*
MARTIAL STATUS*
- MARRIED
- UNMARRIED
- SEPERATED
AGE OF DEPENDENT(S)

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EMPLOYER*
OCCUPATION / TITLE*
EMPLOYER ADDRESS*
Street Address City State / Province / Region ZIP / Postal Code Country
EMPLOYER'S PHONE*
YEARS?*
Years
MONTHS?*
Months
GROSS MONTHLY INCOME*
Before taxes
OTHER MONTHLY INCOME
SOURCE OF OTHER INCOME
PREVIOUS EMPLOYER
PREVIOUS OCCUPATION / TITLE
PREVIOUS EMPLOYER ADDRESS
Street Address City State / Province / Region ZIP / Postal Code Country
PREVIOUS EMPLOYERS'S PHONE
Years?
Years
Months?
Months
DO YOU:*
- Own
- Rent
MORTGAGE PAYMENT OR RENT*
Your portion of obligations
MORTGAGE BALANCE
MARKET VALUE
LANDLORD OR MORTGAGE CO.

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NEAREST LIVING RELATIVE
RELATIONSHIP
CITY / STATE
PHONE
(1) PERSONAL REFERENCE*
CITY / STATE*
PHONE*
(2) PERSONAL REFERENCE*
CITY / STATE*
PHONE*
HAVE YOU EVER HAD ANY PROPERTY REPOSSESSED WITHIN 7 YEARS?*
- NO
- YES
DO YOU CURRENTLY HAVE ANY LAWSUITS AGAINST YOU?*
- Yes
- No
HAVE YOU EVER FILED BANKRUPTCY IN THE LAST 10 YEARS?*
- Yes
- No
ARE YOU A MILITARY VETERAN?*
- Yes
- No
MILITARY RESERVE?*
- Yes
- No
HAVE YOU EVER APPLIED FOR CREDIT IN ANOTHER NAME?*
- Yes
- No
Status*
- Active
- Inactive
IF YES, IN WHAT NAME?:*
First Middle Last
VALID DRIVERS LICENSE AND INSURANCE CARD
Drop files here or
You can take a picture on your phone and upload a copy of your drivers license and insurance card now or email us a copy later. Max file size: 128MB
Consent*
I agree to the credit application policy.
THIS WILL ADVISE YOU THAT YOUR CREDIT APPLICATION FOR SECURED DEBT WILL BE SUBMITTED TO FINANCIAL INSTITUTIONS AND THEIR AFFILIATES FOR THE PURCHASE OR LEASE OF A AUTOMOBILE AND FOR THE CONSIDERATION AS TO WHETHER YOU MEET THEIR CREDIT REQUIREMENTS.

THE UNDERSIGNED FURTHER AUTHORIZES THESE FINANCIAL INSTITUTIONS AND THEIR AFFILIATES TO OBTAIN SUCH INFORMATION THAT THEY MAY REQUIRE IN ORDER TO VERIFY INFORMATION RELATIVE TO THIS REQUEST INCLUDING CONTACTING SPOUSES TO VERIFY SPOUSE RELATED INFORMATION.

I CERTIFY THAT ALL INFORMATION GIVEN BY ME ON THIS APPLICATION IS COMPLETE AND ACCURATE. I GIVE MY PERMISSION FOR ANY FINANCIAL INSTITUTION WHICH WILL REVIEW THIS CREDIT APPLICATION, TO INVESTIGATE MY CREDIT AND EMPLOYMENT HISTORY, AND TO ANSWER QUESTIONS ABOUT THEIR CREDIT EXPERIENCE WITH ME INCLUDING BUT NOT LIMITED TO LATE PAYMENTS, MISSED PAYMENTS OR OTHER DEFAULTS, AND THIS INFORMATION MAY BY REPORTED IN YOUR CREDIT REPORT.
Signature*
SPECIAL NOTICES
CALIFORNIA RESIDENTS: A married applicant may apply for an individual account. OHIO RESIDENTS: Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. NEW YORK RESIDENTS: A consumer credit report may be requested in connection with this application or in connection with updates, renewals or extensions of any credit granted as a result of the application. Upon your request, you will be informed whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished such report. MARRIED WISCONSIN RESIDENTS: Wisconsin law provides that no provision of any marital property agreement, or unilateral statement or court order applying to marital property will adversely affect a creditor’s interests unless, prior to the time that the credit is granted, the creditor is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision. If you are making this application individually, and not jointly with your spouse, please be sure that the full name and current address of your spouse is properly disclosed in Section B on the front cover of this application. MASSACHUSETTS RESIDENTS: Massachusetts law prohibits discrimination on the basis of marital status or sexual orientation.

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We are former Auto Sales Professionals with decades of experience in negotiating and securing wholesale discounts on purchase and lease deals on any make or model vehicle with dealerships near you. We are here to save you time and money by doing the shopping for you.

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323-230-6099
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