Credit Application Form

Credit Application Form

STAGA Auto Sales
Applicant Personal Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number*
Driver's License Number*
Applicant Employment Information
Are you currently working?*

YesNo
Company*
Position*
Monthly Gross Income*
Applicant Co-Signer Information
Do you have a co-signer?(If Yes please fill out all information below)*

YesNo
Co-signer name

First NameLast Name
Co-signer's Phone Number
Co-signer's Social Security Number
Date of Birth

MonthDayYear
Date
Email
example@example.com
Co-signer's Employment Information
Are you currently working?

YesNo
Company
Position
Monthly Gross Income
Permission to Obtain Consumer Credit Report
By signing this application form, I hereby give the right to obtain a consumer credit report regarding me for this application and the car loan should my application be approved. I also release from all liability all persons, companies, and corporations supplying such information. I the indemnify "STAGA Auto Sales" the against any liability that might result from making such an investigation.

I certify that the information above is correct to the best of my knowledge. I authorize "STAGA Auto Sales" to make inquiries as necessary to verify the accuracy of the statements made by me and to determine my creditworthiness. I agree to pay the required sums and I agree to be bound by the loan agreement if my application is accepted.
Signature*
Co-signer's Signature
Should be Empty:

Credit Application Form

Applicant Personal Information

Applicant Employment Information

Applicant Co-Signer Information

Co-signer's Employment Information