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'll 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? |
Applicant
| Date |
Social
Security # |
Birth
Date |
Home
Phone |
| Cell
Phone |
| Last
Name |
First Name |
Middle Initial |
| Current
Address
City State ZIP |
How long? |
| Previous Address
City State ZIP |
How long? |
| Occupation
Present Employer
Work # |
How long? |
| Previous Occupation
Previous Employer
Work # |
How long? |
Applicant's
Gross Monthly Income from Employment..................................$ _____________
| Do
you own a home |
Mortgage Payment |
Do you rent? |
Monthly Rent |
Co-Applicant
| Date |
Social
Security # |
Birth
Date |
Home Phone |
| Last
Name |
First Name |
Middle Initial |
| Current
Address
City State ZIP |
How long? |
| Previous Address
City State ZIP |
How long? |
| Occupation
Present Employer
Work # |
How long? |
| Previous Occupation
Previous Employer
Work # |
How long? |
Co-Applicant's
Gross Monthly Income from Employment..................................$ _____________
I,
the undersigned (1) make the above representations which are certified correct,
for the purpose of securing credit, (2) authorize financial institutions
to obtain consumer credit reports on me periodically and to gather employment
history as they consider necessary and appropriate, (3) authorize your affiliates
to obtain consumer credit reports on me, (4) authorize financial institutions,
affiliates and others to exchange credit, account and financial information
about me, and (5) understand that CCCPAA or any financial institution to
whom it is submitted will retain this application whether or not it is approved,
and that it is the applicant's responsibility to notify the creditor of
any changes of name, address or employment.
| X_______________________________________
Applicant's
Signature |
X_______________________________________
Co-Applicant's
Signature |
Contra
Costa County Public Auto Auction Inc.
1501
Loveridge Road, Pittsburg, CA 94565, Tel. 925-432-8900, Fax 925-432-8932,
E-mail info@cccpaa.com, Dealer #35228 |