credit-approval-form

CREDIT PRE-APPROVAL FORM

Complete the credit application below, sign, and fax it to us at 925-432-8932 or drop it by our office! We will call you back within 24-hours of our next sale with a response.

Year/Make/Model of Auto you are interested in?

Total you'd like to spend?

Amount down?

Date

Social Security#

Birth Date

Driver's License #

Home Phone

Cell Phone

Last Name

First Name

Middle Initial

Street Address	City	State	Zipcode	How Long?
Previous Address	City	State	Zipcode	How Long?

Occupation	Present Employer	Work #	How Long?
Previous Occupation	Previous Employer	Work #	How Long?

Applicant’ Gross Monthly Income from employment $

Co-Applicant

Date

Social Security#

Birth Date

Driver's License #

Home Phone

Cell Phone

Last Name

First Name

Middle Initial

Street Address	City	State	Zipcode	How Long?
Previous Address	City	State	Zipcode	How Long?

Occupation	Present Employer	Work #	How Long?
Previous Occupation	Previous Employer	Work #	How Long?

Co-Applicant’ Gross Monthly Income from employment $

I, the undersigned (1) make the above representations,which are certified correct, for the purpose of securing credit; (2) authorizedfinancial institutions to obtain consumer credit reports on me periodically andto gather employment history as they consider necessary and appropriate; (3)authorize your affiliates to obtain consumer credit reports on me; (4)authorizes financial institutions affiliates, and others to exchange credit,account and financial information about me; (5) understand that we or anyfinancial institution to whom it is submitted will retain this applicationwhether or not it is approved, and that it is the applicant’s responsibility tonotify the creditor of any changes of name, address or employment.

X___________________________________________
Applicant's signature

X___________________________________________
Co-Applicant's signature

02/11