| You are hoping to buy: | |
| Enter Make and Model : |
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| OR, Provide a general description of the vehicle you're looking for: | |
| Note: Any dealership can help you find the right vehicle for your needs and budget. We suggest you select a dealer based on your location for convenience or other preferences, but you are free to choose any on the list. |
| Please select a dealership to process your application: | |
| Social Security # |
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| Name: |
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| Address: |
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| Apt. No. |
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| City: | |
| State: | |
| Postal/Zip code: |
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| Previous
Address: |
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| Apt. No. |
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| City: | |
| State: | |
| Postal/Zip code: |
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| E-mail: | |
| Phone: |
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| All of the above fields must be completed. Please enter your email and phone number carefully. Your email address should be complete, as in yourname@infi.net or myname@aol.com |
Do you plan to trade in your vehicle?
| Yes No Not Sure Yet |
| If Yes, trade-in information: | Year Make Model
Mileage |
Do you plan an additional down payment?
| Yes No Not Sure Yet |
If yes, approximately how much?
| $ |
Previous
Auto Credit?
If Yes, Lender Name
| Yes No
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Other
Credit References
|
|
| Click the appropriate circle for the type of application you are making: | Individual CreditApplying for credit in your own name and relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested. Joint CreditApplying for joint credit with another person. What is your relationship to the other party?
Individual Plus CreditApplying for credit in your own name but relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as a basis for repayment of the credit requested. |
| Birthday: (MM/DD/YY) | |
| Drivers
License Number
State Issued
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| At your current address do you: | Own Rent Live with your family
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| Amount of rent or mortgage payment (if any):
Mortgage or Landlord:
| $
|
| Length of time at current address: | Years Months |
| Length of time at
previous address: | Years Months |
| | Closest relative not living with
you |
| Name: |
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| Relationship to you: |
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| Address, City, State, Zip: |
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| Daytime Phone: | |
| | Another
Relative or Friend not living with you |
| Name: |
|
| Relationship to you: |
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| Address, City, State, Zip: |
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| Daytime Phone: | |
| Current
Employer: |
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| Occupation: |
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| Business phone: |
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| Annual Gross Income: | $ (Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation.) |
| Total time with current employer: | Years Months
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| Previous
Employer: |
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| Occupation: |
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| Business phone: |
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| Total time with
previous employer: | Years Months
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| Other
Source of Income:
If Yes, Source:
Amount:
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Yes No
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| Military
Rank: |
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Thank
You! |