Finance Application STEP ONE - Personal Info * First Name FIRST NAME REQUIRED Middle Initial * Last Name LAST NAME REQUIRED * Phone Number PHONE REQUIRED * Email Address EMAIL REQUIRED Social Security Number SSN REQUIRED ( We secure and protect your confidential information ) Apt/Suite APT/SUITE REQUIRED Street Number STREET NUM REQUIRED Street Name STREET NAME REQUIRED Street Type AVENUE BOULEVARD CIRCLE COURT CRESCENT DRIVE FREEWAY HIGHWAY LANE PARKWAY PLACE PLAZA ROAD SQUARE STREET TERRACE TRAIL TURNPIKE WAY STREET TYPE REQUIRED PO Box PO BOX REQUIRED Rural Route RURAL ROUTE REQUIRED City CITY REQUIRED State AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY STATE REQUIRED Zip ZIP REQUIRED Birth Date (Month-Date-Year) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 12345678910111213141516171819202122232425262728293031 - 2006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907 DAY REQUIRED MONTH REQUIRED YEAR REQUIRED STEP TWO - Employment Info Employer Name EMPLOYER REQUIRED Position POSITION REQUIRED Years/Month at Company 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 - 0 Months 1 Months 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months YEARS REQUIRED ` MONTHS REQUIRED Employer Phone Number PHONE REQUIRED Gross Monthly Income INCOME REQUIRED Other Income OTHER INCOME REQUIRED PREVIOUS EMPLOYMENT Employer Name EMPLOYER REQUIRED Position POSITION REQUIRED Years/Month at Company 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 - 0 Months 1 Months 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months MONTHS REQUIRED YEARS REQUIRED Employer Phone Number PHONE REQUIRED Gross Monthly Income INCOME REQUIRED Other Income OTHER INCOME REQUIRED STEP THREE - Living Situation Years/Month at Current Address 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 - 0 Months 1 Months 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months YEARS REQUIRED MONTHS REQUIRED Do you Own or Rent ? Own Rent Relatives REQUIRED Rent Amount/Mortgage Payment $ REQUIRED Best Contact Place And Time Home Work Morning Afternoon Evening REQUIRED REQUIRED Comments PREVIOUS ADDRESS Apt/Suite APT/SUITE REQUIRED Street Number STREET NUM REQUIRED App Street Name STREET NAME REQUIRED Street Type AVENUE BOULEVARD CIRCLE COURT CRESCENT DRIVE FREEWAY HIGHWAY LANE PARKWAY PLACE PLAZA ROAD SQUARE STREET TERRACE TRAIL TURNPIKE WAY STREET TYPE REQUIRED PO Box PO BOX REQUIRED Rural Route RURAL ROUTE REQUIRED City CITY REQUIRED State AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY STATE REQUIRED Zip ZIP REQUIRED Do you have a Co-Signer No Yes Co-Signer STEP FOUR - Co-Applicant Information (Optional) First Name FIRST NAME REQUIRED Middle Initial Last Name LAST NAME REQUIRED Home Phone Number PHONE REQUIRED Email Address EMAIL REQUIRED Social Security Number SSN REQUIRED ( We secure and protect your confidential information ) Apt/Suite APT/SUITE REQUIRED Street Number STREET NUM REQUIRED Street Name STREET NAME REQUIRED Street Type AVENUE BOULEVARD CIRCLE COURT CRESCENT DRIVE FREEWAY HIGHWAY LANE PARKWAY PLACE PLAZA ROAD SQUARE STREET TERRACE TRAIL TURNPIKE WAY STREET TYPE REQUIRED PO Box PO BOX REQUIRED Rural Route RURAL ROUTE REQUIRED City CITY REQUIRED State AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY STATE REQUIRED Zip ZIP REQUIRED Birth Date (Month-Date-Year) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 12345678910111213141516171819202122232425262728293031 - 2006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907 DAY REQUIRED MONTH REQUIRED YEAR REQUIRED STEP FIVE - Co-Applicant Employment Info Employer Name EMPLOYER REQUIRED Position POSITION REQUIRED Years/Month at Company 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 - 0 Months 1 Months 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months YEARS REQUIRED MONTHS REQUIRED Employer Phone Number PHONE REQUIRED Gross Monthly Income INCOME REQUIRED Other Income OTHER INCOME REQUIRED Co-Applicant Previous Employment Employer Name EMPLOYER REQUIRED Position POSITION REQUIRED Years/Month at Company 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 - 0 Months 1 Months 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months MONTHS REQUIRED YEARS REQUIRED Employer Phone Number PHONE REQUIRED Gross Monthly Income INCOME REQUIRED Other Income OTHER INCOME REQUIRED STEP SIX - Co-Applicant Living Situation Years/Month at Current Address 0123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899 - 0 Months 1 Months 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months YEARS REQUIRED MONTHS REQUIRED Do you Own or Rent ? Own Rent Relatives REQUIRED Rent Amount/Mortgage Payment $ REQUIRED Best Contact Place And Time Home Work Morning Afternoon Evening REQUIRED REQUIRED Previous Co-Applicant Address Apt/Suite APT/SUITE REQUIRED Street Number STREET NUM REQUIRED Street Name STREET NAME REQUIRED Street Type AVENUE BOULEVARD CIRCLE COURT CRESCENT DRIVE FREEWAY HIGHWAY LANE PARKWAY PLACE PLAZA ROAD SQUARE STREET TERRACE TRAIL TURNPIKE WAY STREET TYPE REQUIRED PO Box PO BOX REQUIRED Rural Route RURAL ROUTE REQUIRED City CITY REQUIRED State AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY STATE REQUIRED Zip ZIP REQUIRED *TERMS AND DISCLOSURE The following terms of agreement apply to all of our online applications; we, us, our and ours as used below refer to the dealer and to the Financial Institutions selected to receive your application. You authorize the dealer, as part of the credit underwriting process, to submit this application and any other application submitted in connection with the proposed transaction to the Financial Institutions disclosed to you by the dealer, for review. In addition, in accordance with the Fair Credit Reporting Act, you authorize that such Financial Institutions may submit your applications for review to other Financial Institutions that may want to purchase your contract. You agree that we and any Financial Institutions to which your application is submitted may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction. You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information. You further authorize us to gather whatever credit and employment history we consider necessary and appropriate in reviewing this application and any other applications submitted in connection with the proposed transaction. We may keep this application and any other application submitted to us, and information about you whether or not the application is approved. You certify that the information on this application and in any other application submitted to us, is true and complete. You understand that false statements may subject you to criminal penalties. FEDERAL NOTICES IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name,address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. STATE NOTICES Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington or Wisconsin Residents: If you, the applicant, are married and live in a community property state, you should also provide the personal credit information on your spouse in the co-applicant section. Your spouse is not required to be a co-applicant for the credit requested unless he/she wishes to be a co-applicant. California Residents: An applicant, if married, may apply for a separate account. Ohio Residents: Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy 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 Hampshire Residents:If this is an application for balloon financing, you are entitled to receive, upon request, a written estimate of the monthly payment amount that would be required to refinance the balloon payment at the time such payment is due based on the creditor's current refinancing programs. New Hampshire Residents: In connection with your application for credit, we may request a consumer report that contains information on your credit worthiness, credit standing, personal characteristics and general reputation. If we grant you credit, we or our servicer may order additional consumer reports in connection with any update, renewal or extension of the credit. If you ask us, we will tell you whether we obtained a consumer report and if we did, we will tell you the name and address of the consumer reporting agency that gave us the report. Vermont Residents: By clicking on Submit, you authorize us and our employees or agents to obtain and verify information about you (including one or more credit reports, information about your employment and banking and credit relationships) that we may deem necessary or appropriate in reviewing your application. If your application is approved and credit is extended, you also authorize us, and our employees and agents, to obtain additional credit reports and other information about you in connection with reviewing the account, increasing the available credit on the account (if applicable), taking collection on the account, or for any other legitimate purpose. Married Wisconsin Residents: Wisconsin law provides that no provision of any marital property agreement, or unilateral statement, or court order applied 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, the full name and current address of your spouse must be properly disclosed in the co-applicant section of this application. Purchase Information What Vehicle are you Interested In Purchasing? I know the stock# Stock # I would like to search for it Description (enter year, make or model) I haven't made up my mind.
