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

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

Social Security Number

Drivers License Number

License/ ID Expiration Date

License or ID

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

Repos/ Give Backs

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