Used Car Vehicle Financing Credit Application Form

Please fill out all required fields accurately. All information collected will be kept confidential and used only for processing your financing application.
1. Primary Applicant Information
*
2. Full Name
*
3. Date of Birth
*
4. Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN)
5. Driver's License Number: Issuing State: *
*
6. Phone Number
*
7. Email Address
*
8. Current Street Address
9. City: State: Zip Code: *
10. Residence Information
*
11. Do you rent or own your current residence?
Rent
Own
*
12. Monthly Housing Payment
13. Employment Information
*
14. Current Employer Name
*
15. Occupation/Position
*
16. Supervisor Name
*
17. Length of Employment with Current Employer
Less than 2 years
2 years or more
*
18. Gross Monthly Income
*
19. Pay Frequency
Weekly
Bi-weekly
Semi-monthly
Monthly
*
20. Work Phone Number
21. Additional Income Information
22. Source of Additional Income
23. Monthly Additional Income Amount
*
24. Are you applying with a co-applicant?
Yes
No
25. Co-Applicant Information
*
26. Full Name
*
27. Date of Birth
*
28. Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN)
29. Driver's License Number: Issuing State: *
*
30. Phone Number
*
31. Email Address
*
32. Current Street Address
33. City: State: Zip Code: *
34. Co-Applicant Residence Information
*
35. Do you rent or own your current residence?
Rent
Own
*
36. Monthly Housing Payment
37. Co-Applicant Employment Information
*
38. Current Employer Name
*
39. Employer Address
*
40. Occupation/Position
*
41. Supervisor Name
*
42. Co-Applicant Length of Employment with Current Employer
Less than 2 years
2 years or more
*
43. Gross Monthly Income
*
44. Pay Frequency
Weekly
Bi-weekly
Semi-monthly
Monthly
*
45. Work Phone Number
46. Co-Applicant Additional Income Information
47. Source of Additional Income
48. Monthly Additional Income Amount
49. Vehicle Financing Information
*
50. Desired Vehicle (Year, Make, Model)
*
51. Down Payment Amount
*
52. Preferred Monthly Payment
53. Financing Eligibility (Primary Applicant)
*
54. Do you have a valid Social Security Number?
Yes
No
*
55. Do you have a valid ITIN Number?
Yes
No
*
56. Are you a first-time car buyer?
Yes
No
*
57. Have you ever filed for bankruptcy?
Yes
No
*
58. Have you ever had a vehicle repossessed?
Yes
No
59. Financing Eligibility (Co-Applicant)
*
60. Does the co-applicant have a valid Social Security Number?
Yes
No
*
61. Does the co-applicant have a valid ITIN Number?
Yes
No
*
62. Is the co-applicant a first-time car buyer?
Yes
No
*
63. Has the co-applicant ever filed for bankruptcy?
Yes
No
*
64. Has the co-applicant ever had a vehicle repossessed?
Yes
No
65. Consent and Authorization
66. I hereby authorize the used car dealership and its partnered lending institutions to verify all information provided in this application, including but not limited to employment history, residence information, income details, and credit history. I certify that all information provided in this application is true and accurate to the best of my knowledge.
*
67. Primary Applicant Electronic Signature
Please draw within the rectangle area below
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*
68. Date of Signature (Primary Applicant)
*
69. Co-Applicant Electronic Signature
Please draw within the rectangle area below
ClearUndoEraserConfirm and Upload
*
70. Date of Signature (Co-Applicant)
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