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Financing Application
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Name
*
First
Last
Date of Birth
*
Month/day/year
Email
*
Phone Number
*
Social Security or ITIN Number
*
Present Address
*
Please add the residential address, city, and zip code.
Time at this Address
*
Years & Months
Owned By:
*
Self or Spouse
Self w/Mortgage
Relative
Landlord
Military
Monthly Cost
*
Employment Status:
*
Self-Employed
Contract
Retired
Full Time
Part time
Military
Seasonal
Temporary
Unemployed
Name of Employer
*
present Employer
any) Phone By:
Work Phone
*
Time at this Employer (Years and months)
*
Years and month
Employer Address
*
Please add the residential address, city, and zip code.
Job Title
*
Monthly Gross Income:
*
Other Income (if any)
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 this obligation.
Source
Desired Vehicle (Make, Model, Year)
*
Down Payment Amount (if any)
*
Checking Bank Name:
*
Banking Information
Consent & Agreement
*
I agree that by submitting this application, I authorize and give this dealership, as well as any potential financing source this dealership presents this application to, my consent to obtain my credit report from any credit reporting agency used to complete an investigation of my credit. By submitting this application, I certify that all information herein is true and complete. I agree I am providing this information to the dealer identified in this application and acknowledge that my information may be shared pursuant to the dealer's privacy policy, if applicable. I hereby authorize this dealer, and any financial institution engaged as a service provider by this dealer, to retain this application and to check and verify my credit, employment and salary history. By submitting this application, I authorize this dealer and/or financial institutions, as they consider necessary and appropriate, to obtain consumer credit reports on me periodically and to gather employment history in order to determine financing eligibility.
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