Credit Application Page

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Primary Applicant:

First name:    Middle initial:   Last name:

Street address:       City, state, zip code:   

Home Phone No:    Cell Phone No:      Best time to contact:    AM  PM

Social Security Number:   Date of Birth (xx/xx/xx):

Email:

 

Present employer:             Job title:

Employer's phone number        How long: years  months

Monthly gross pay: $       Additional monthly income: $  Source:

Previous employer:              Job title:

How long: years  months

Joint Applicant

First name:    Middle initial:   Last name:

Street address (if not the same):     City, state, zip code:

Social Security Number:    Date of Birth (xx/xx/xx):

Present employer:             Job title:

Employer's phone number        How long: years  months

Monthly gross pay: $       Additional monthly income: $  Source:

Previous employer:              Job title:

How long: years  months

Total Down Payment:  $    Desired Amount to finance: $   Desired Payment: $ a month   

Additional Comments:

By submitting this inquiry form, you are requesting Allstar Car Sales, Inc to consider your request for automotive credit.  You understand that by clicking on the Submit Application button immediately following this notice, you are giving Allstar Car Sales, Inc. written authorization to obtain a credit bureau report on you for the sole purpose of automotive financing. You certify that the information you have provided in this inquiry form is true and accurate and agree that it, along with information contained in a credit bureau report on you, may be used by Allstar Car Sales, Inc. for the purpose of automotive ownership.