CREDIT APPLICATION
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Name
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First Name
Middle Name
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Street Address
Street Address Line 2
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example@example.com
SSN #
123-456-7890
D.O.B
01/23/1999
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Employer Phone Number
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Job Title
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Street Address
Street Address Line 2
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Co-Buyer
Date
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Month
-
Day
Year
Date
Name
First Name
Middle Name
Last Name
Suffix
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
SSN #
123-45-6789
Time At Present Address
Residence Type
Own Outright
Buying
Renting
Family
Other
Monthly Mortgage/Rent Payment
Previous Address (if less than two years at present address)
Current Employer
Employer Phone Number
Job Title
Time at Present Job
Gross Income (before taxes)
Income Received
Monthly
Yearly
weekly
Bi-weekly
Previous Employer (if less than two years at present employer)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Reference 1 Name
*
First Name
Last Name
Reference 1 Phone Number
*
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Area Code
Phone Number
Reference 1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 2 Name
*
First Name
Last Name
Reference 2 Phone Number
*
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Area Code
Phone Number
Reference 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 3 Name
*
First Name
Last Name
Reference 3 Phone Number
*
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Area Code
Phone Number
Reference 3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 4 Name
*
First Name
Last Name
Reference 4 Phone Number
*
-
Area Code
Phone Number
Reference 4 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please describe vehicle you are interested in.
Credit Authorization Disclosure Statement
Credit Authorization Disclosure Statement By submitting this application, I hereby authorize Route 66 Auto Sales and its agents, affiliates, or any financial institutions they may assign, to obtain and review my credit report, employment history, and any other information necessary to process my credit application. I understand that this may include pulling a credit report from one or more consumer reporting agencies and contacting my employer(s), references, or financial institutions to verify the information I have provided. I certify that all information in this application is true and complete to the best of my knowledge, and I understand that providing false or misleading information may result in denial of credit. I authorize Route 66 Auto Sales to share my application and credit information with lenders or third parties as needed for the purpose of securing vehicle financing.
Declaracion de Divulgacion y Autorizacion de Credito
Al enviar esta solicitud, autorizo a Route 66 Auto Sales y a sus agentes, afiliados o cualquier institución financiera a la que puedan asignarla, a obtener y revisar mi informe crediticio, historial de empleo y cualquier otra información necesaria para procesar mi solicitud de crédito.Entiendo que esto puede incluir la obtención de un informe crediticio de una o más agencias de informes de consumidores, así como el contacto con mis empleadores, referencias o instituciones financieras para verificar la información proporcionada.Certifico que toda la información incluida en esta solicitud es verdadera y completa según mi leal saber y entender, y entiendo que proporcionar información falsa o engañosa puede resultar en la negación del crédito.Autorizo a Route 66 Auto Sales a compartir mi solicitud e información crediticia con prestamistas o terceros según sea necesario con el propósito de obtener financiamiento para un vehículo.
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