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Easy Application Process and Fast Credit Decisions!

APPLICATION FOR CREDIT

This is an application for credit with Dealer. You understand there is no agreement between us until we approve your credit application and accept all other required documents for funding.


PLEASE PRINT CLEARLY AND COMPLETE ALL REQUESTED INFORMATION

OTHER 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 this obligation.)

PERSONAL REFERENCES (not in same household)

OPTIONAL ACH   (AUTOMATIC WITHDRAWALS)

By signing this application you promise all information is true and complete. You intend the seller and/or assignee to rely upon this information in deciding whether or not to extend credit to you. You authorize a full investigation and release of your credit record and your employment history. You also authorize the seller and/or assignee to release information about credit experience with them. You consent to receiving autodialed or prerecorded messages from us or those acting on our behalf at any mobile telephone number you provide to us.


CREDIT REPORT NOTICE: We may request a credit report for any legitimate purpose associated with your application for credit, extending credit, modifying the terms of your credit agreement, or collection on your account. On your request, we will inform you if such a report was ordered and will give you the name and address of the credit reporting agency that furnished the report.


ALABAMA AND NEBRASKA RESIDENCE: You must be 19 years old to apply for credit.


CALIFORNIA RESIDENTS: If married, you may apply for a separate account.


NEW YORK RESIDENTS: We may obtain your credit report and we will inform you, upon request, whether a report was obtained and, if so, the name and address of the consumer reporting agency.


OHIO RESIDENTS: The 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.


VERMONT RESIDENCE: We may obtain your credit reports at any time, for any legitimate purpose associated with the account or the application or request for an account, including bit not limited to reviewing, modifying, renewing and collecting on your account. On your request we will inform you  if such a report was ordered. If so, we will give you the name and address of the consumer reporting agency furnishing the report.


WISCONSIN NOTICE TO MARRIED APPLICANTS: No provision of any marital property agreement, unilateral statement under Wis. Stats. 766.59, or court decision under Wis. Stats. 766.70 adversely affects the interest of the creditor unless the creditor is furnished a copy of the decree, agreement, statement, or has actual knowledge of the adverse provision prior to the time credit is granted.

Email

First Name

Drivers’ Lic.#

SSN

Street

How Long?

Employer Phone

Monthly Income

Middle Initial

Work Phone

Lic. Sate

Rent / Mort. Pmt.

First Name

SSN

Street

Home Phone

Current Employer

Employer Phone

CO-APPLICANT INFORMATION

How Long at address? Months

Monthly Income

Middle Initial

Drivers’ Lic.#

How Long?

Last Name

Lic. Sate

Sate

Rent / Mort. Pmt.

Years

Position

Email

Name

Relationship


Phone

Name

Relationship


Phone

Bank Name

City

Routing#

Acct#

I (we) hereby authorize lender or any assignee to initiate debit entries to the below-listed account for my monthly payments. This authorization remains in full force end effect until the lender/assignee has received written notification from me (us) in such time and such manner as to afford lender/assignee a reasonable opportunity to act on it. Please allow 10 days for all changes to be effective.

**PLEASE ATTACH A VOIDED CHECK OR DEPOSIT SLIP**

State

DATE

Must print your name as it appears on your driver license in the below box.

Loan Type

Source:

Amount $

Years

City

Mobile Phone

How Long at address? Months

Mobile Phone

Work Phone

Dwelling

DOB


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