Loan Application

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Buyer's Information
Name (First, MI, Last)
Social Secureity Number	- -
Date of Birth
Home Phone	- -
Is the Home Phone under you name?	Yes No
Email Address
Other Phone
Is this Home Phone under you name?	Yes No
Time at Present Address	Year Month
Residence Type	Renting Own/Buying Living with Family
Street Address
City
State/Province
Zip/Postal Code
Housing Payment	.00 Per Month
Time at Previous Address	Year Month
Previous Address
Previous City
Previous Zip/Postal Code
Employment / Income Information
Employment Type	W2 Employee 1099 / Self Employed Fixed Income
Time with Employment	Year Month
Employer Phone	- -
Employer Zip / Postal Code
Name of Employer
Occupation Title
Employment Income	.00 (Monthly pre-tax / gross amount)
Other Income	.00
Source of other Income
Time with Previous Employer	Years Month
Name of Previous Employer
Previous Employer Phone Number	- -
Other Information
Checking Account	Yes No
Savings Account	Yes No
Bank Name
Down Payment	.00
Vehicle Preference:
Trade-In Information
Model Year:
Make:
Model:
Mileage:
Current Monthly Payment:	.00
Lien Holder:
Will there be a CO-BUYER?

Co-Buyer's Information
Name (First, MI, Last)
Social Secureity Number	- -
Date of Birth
Home Phone
Is the Home Phone under you name?	Yes No
Email Address
Other Phone	- -
Is the Home Phone under you name?	Yes No
Time at Present Address	Year Month
Residence Type	Renting Own/Buying Living with Family
Street Address
City
State/Province
Zip/Postal Code
Housing Payment	.00 Per Month
Time at Previous Address	Year Month
Previous Address
Previous City
Previous Zip/Postal Code
Co-Buyer's Employment / Income Information
Employment Type	W2 Employee 1099 / Self Employed Fixed Income
Time with Employment	Year Month
Employer Phone	- -
Employer Zip / Postal Code
Name of Employer
Occupation Title
Employment Income	.00 (Monthly pre-tax / gross amount)
Other Income	.00
Source of other Income
Time with Previous Employer	Years Month
Name of Previous Employer
Previous Employer Phone Number	- -

Credit Profile

Select a Credit Profile

	Excellent Credit On the bureau minimum of 5 years. Demonstrated paid as agreed on several installment loans. (ex:mortgage, auto). No slow pays, charge offs or collection items. Credit card balances are no more than 30% of credit limit.
	Good Credit On the bureau minimum of 3 years. Demonstrated paid as agreed on several installment loans. Slow pays are at least 12 months old No charge offs or collection items. Credit card balances are no more than 60% of credit limit.
	Average Credit On the bureau minimum of 2 years. Demonstrated paid as agreed on at least one (1) installment loan of at least $5000.00 Has bought at least one automobile. Slow pays, charge offs and/or collection items at least 12 months old Have some credit card balances and demonstrated paid as agreed. No more than 1 Bankruptcy, repo, or foreclosure and is at least 12 months old.
	Below Average Credit On the bureau minimum of 2 years. Has installment loans but with very poor payment history. Bankruptcy, report, or foreclosure last than 12 months old and possible muliple as well. Credit card balances are max out with very poor payment history. Several slow pays, charge offs and/or collection items less than 12 months old.

Certification and Authorization

By submitting this application, I certify that all information herein is true and complete. I authorize lending institutions and participating auto dealer to retain this application, to rely on the foregoing, to check and verify my credit, employment and salary history. By using our website, you authorize us to provide reports on the status of your application, including information concerning whether you pre-qualify for a loan, which lender's loan offer (if any) you choose to accept, whether your application for credit is denied, and whether you accept a loan from that lender. Click Here to read the agreement and state-specific notices.

I have read the agreement and state-specific notices.