The Auto Professional - Customer Application Form

Customer Application Form

APPLICANT

Full Name*

First NameLast Name

Cell Phone*

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Residence Status*

RentOwnLive with family

Monthly Payment*

Paid to Whom*

Payees Phone Number*

Time at Residence*

Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Time at Residence*

Birth Date*

MonthDayYear

Gender*

FemaleMale

Social Security Number*

Drivers License Number*

License/ ID Expiration Date*

License or ID*

LicenseID

Years in Indiana*

EMPLOYMENT

Current Employer Name*

Position/ Job Title *

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer Phone*

Area CodePhone Number

Monthly Income Before Taxes*

Start Date*

Previous Employer*

Position/ Job Title *

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Time at Previous Employer*

Phone Number*

Area CodePhone Number

VEHICLE INFO

Desired Purchase*

Max Down Payment*

Who Referred You?

Trade-In (Must Have The Title)

YearMakeModelMiles

Any Additional comments

Filed Bankruptcy*

YesNo

Repos/ Give Backs*

YesNO

Appointment Date & Time*

Signature*

Terms & Conditions By submitting this application, I certify that the information provided is true and complete to the best of my knowledge. I authorize The Auto Professionals and its affiliated dealerships, lenders, and financial partners to obtain and verify my credit, employment, and personal information from consumer reporting agencies, credit bureaus, employers, and other relevant sources as needed to process this credit application. I understand that this application is for pre-approval purposes only and does not guarantee final loan approval or specific financing terms. Final approval and financing terms will be determined based on lender guidelines, creditworthiness, and verification of the information provided. I consent to receive communications by phone, email, text message, and other electronic means regarding my application, vehicle offers, and financing opportunities. Message and data rates may apply. Privacy Notice: The information collected through this application will be used solely for the purpose of processing your credit application and will not be sold or shared with unaffiliated third parties without your consent, except as permitted or required by law. By submitting this application, I acknowledge and agree to these terms and conditions.*

Initials

Form Submitted On

MonthDayYearHourMinutesAM/PM Option