Chaparral Motors

Chaparral Motors

1702 Clovis Road - Lubbock, TX 79415 - 806-744-7393 5435 Frankford Avenue - Lubbock, TX 79424 - 806-744-7200
Full Name

First NameMiddle Name or InitialLast NameSuffix
Social Security Number
Driver's License or ID #
Birth Date

MonthDayYear
Phone Number 1
Phone Number 2
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Time at Address
Monthly Payment or Rent
Residential Status
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Time at Address
E-mail
example@example.com
Employment
Employer Name
Employer Address
Employer City, State, Zip
Employer Phone
Format: (000) 000-0000.
Position
Employment Length
Monthly Income
Previous Employment

Street Address

City, State

Employment LengthPosition

Other
Vehicle Information
Available Down Payment
Desired Payment
Trade-In (if applicable)

YearMakeModel
Additional comments
Signature
Important Application Information

Federal Law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances, we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law. This information may be required even if you were to pay cash for your vehicle.

Disclosure of Credit Bureau

By signing the credit application, I consent to Chaparral Motors (acting on behalf of Raider Finance Co) using the information in this credit application to pull my credit report and employment history. I consent to sharing this information with any related lender for the purposes of consummating the purchase of a vehicle through Chaparral Motors.
Form Submitted On

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2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
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Chaparral Motors

Employment

Vehicle Information