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CREDIT APPLICATION
How did you hear about us? (ex, Craigslist, JohnnyAuto website etc.): ( )
MAKE: MODEL: YEAR: DOWNPAYMENT: BI-WEEKLY:
Applicant Type: Primary Applicant Co-Applicant
Marital Status: Single Married Divorced Separated
First Name: M Initial: Last Name:
DOB: - - Social Security Number: - -
Cell Phone#: E-mail Address:
Current Address: City: State: Zip:
Do you rent or own? ( ) Rent ( ) Own How much monthly: $
How long at this residence: ( ) years ( ) months
3 Year Residence History:
Address:
Address:
Address:
Employment Status: Employed Self-Employed S.S/Other
Current Employer/Company’s Name:
Address:
Occupation: Supervisor: Phone #:
Length at employment:
( ) Yrs.
( ) Months
Gross Income: $
( ) Weekly
( ) Bi-weekly (
) Semi-Monthly ( ) Monthly
Previous Employer:
Address:
Occupation:
Supervisor:
Phone#:
Length at employment:
( ) Yrs.
( ) Months
Other Income:
Have you ever filed for bankruptcy?
If yes, When filed & What chapter?
Where filed?
Have you been dismissed or discharged?
Have you ever had a car or other merchandise repossessed?