Special Financing

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IMPORTANT! Please read before proceeding: In order to make your transaction a smooth and pleasant experience it is extremely important that the information you provide is truthful and accurate. In most cases, the loan approval will be subect to verification of the information provided and documentation will be required.
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Application Information

Application Information

Application Type:  
Type of application:  

If you are applying with a joint application, please have the cosigner complete the form after the primary applicant has hit Submit.  

Identification

Identification

First Name:  
Middle Initial  
Last Name:  
Date of Birth: Month  
Date of Birth: Day  
Date of Birth: Year  
Social Security Number:  

Contact Information

Contact Information

(Area Code) Daytime Phone:   (Area Code) Evening Phone:  
EMail:  
How would you like to be contacted?  

Address Information

Address Information

Address:   City:  
State:   Zip:  
How long at your current residence? Years   Months  
Do you rent or own?  
Mthly rent/mtg:  
Landlord or Mortgage Co:   Phone Number:  
If less than 2 years - please complete previous history information below.  
Previous Address:   Previous City  
Previous State:   Zip:  
How long at previous residence? Years   Months:  

Employment History

Employment History

Current Employer:   Gross Monthly Income (before taxes):  
Position/Occupation:   Phone:  
Address   City:  
State:   Zip:  
Job Length? Years   Months  

If less than 2 years - please complete previous history information below.  
Previous Employer:   Phone  
Address   City  
State   Zip:  
Previous Job Length? Years   Months:  

Questionnaire

Questionnaire

Other Monthly Income - $:   Source of other income (disability, alimony, child support):  

Have you ever filed for bankruptcy?   If yes, when:  
Have you ever had a car or other merchandise repossessed?   If yes, when:  

Credit Report Authorization

Credit Report Authorization

I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above.  

Credit Check:  
(Initial here) *required  

  • Approval based on lender criteria, Not all customers will qualify for the same finance program. Down payment, loan amount, term, rate and required documentation will vary for each customer. Loan approvals are subject to verification of the accuracy of all information submitted and can not be finalized if discrepencies or fraud is suspected.
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