Financing – A and B Auto Sales

A and B Auto Sales

SECURE LOAN APPLICATION

Primary Borrower Information

Desired Loan Amount: *

Desired Monthly Payment:

First Name: *

Middle Initial:

Last Name: *

Address: *

City: *

State: *

Zip: *

Daytime Phone: *

Evening Phone:

Fax:

Email:

Social Security Number: *

Birthday: *

Mortgage/Rent Payment: * (per month)

Residence Type:

Time at Residence: * (years)

Time at Residence: * (months)

If you have lived at your current residence less than 5 years, please enter your prior address:

Which accounts are in your name:

Utilities Savings Checking Phone

Drivers Lic. #:

Drivers Lic. State:

Driver Lic. Exp. Date:

Employer Name: *

Employer Address: *

Employer City: *

Employer State: *

Employer Zip: *

Business Phone: *

Occupation: *

Employment Status: *

Time On Job: *

How often are you paid: *

How much per paycheck: *

Other Income: (per month)

I accept these terms.*

Vehicle Make:

Vehicle Model:

Vehicle Year:

Vehicle Mileage:

Down Payment Amount:

Trade-in Make:

Trade-in Model:

Trade-in Year:

Trade-in Mileage:

Additional Comments:

A and B Auto Sales

SECURE LOAN APPLICATION

Primary Borrower Information

Contacts