NCFC

NCFC
AUTO FINANCING
146 South Liberty Dr. Unit 11B P.O. Box 121 Stony Point, NY 10980 845-942-0020 Fax 845-942-2810
CREDIT APPLICATION
DEALER NAME
FAX
PHONE
YEAR
MAKE
MODEL
MILEAGE
CASH PRICE
NET TRADE
DOWN PAYMENT
TOTAL AMOUNT FINANCED
OPTIONS
NADA RETAIL
VIN
NADATRADE IN
TRADEIN INFO
APPLICANT INFORMATION
(PLEASE PRINT CLEARLY)
NAME
SOCIAL SECURITY
ADDRESS
DATE OF BIRTH

MonthDayYear
Date
CITY
STATE
ZIP
YEARS THERE
HOME PHONE
cell phone
EMAIL ADDRESS
example@example.com
OWN OR RENT
NAME, ADDRESS, & PHONE OF LANDORD OR MORTGAGE HOLDER
PREVIOUS ADDRESS If current less than 4 years
NAME OF EMPLOYER
ADDRESS OF EMPLOYER
BUSINESS PHONE
ANNUAL SALARY
YEARS
PREVIOUS EMPLOYER
YEARS
REFERENCES PERSONAL- FAMILY
NAME
NAME
NAME
ADDRESS
PHONE
PHONE
ADDRESS
PHONE
ADDRESS
By signing this application: 1. I authorize Dealer, New City Funding Corp. and any finance company, bank, other financial institution to which the Dealer or New City Funding submits my application ("you" or "your" to Investigate my credit and employment history, obtain credit reports, and release information above your credit experience with our company as the law permits. 2. If an account is created, I authorize you to obtain credit reports for the purpose of reviewing or taking collection action on the accounts or for other legitimate purposes associated with account. 3. I certify that I have read and agree to the terms of this application and that the information in it is complete and true. 4. I authorize New City Funding Corp. to start a credit investigation based on the information voluntarily provided by me which is true and correct, and reflects all my current debts. In addition, I authorize NCFC to obtain federal and state records of employment and income history, including State Employment Security Agency ("SESA" A bankruptcy proceeding is not progress. "New City Funding Corp. is an Equal Opportunity Lender"
Signature of Applicant

Clear
Date

MonthDayYear
Date
Signature of CoApplicant

Clear
Date

MonthDayYear
Date
NCFC
AUTO FINANCING
Internet Credit Application Authorization

The undersigned hereby represents and warrants to New City Funding Corp ("NCFC") that

(the "customer") is applying for credit via the internet and has provided written instructions in accordance with the Fair Credit Reporting Act and the Electronic Signatures in Global and National Commerce Act ( the "ESIGN Act") authorizing both the undersigned and/or other credit information (collectively, the "Customer's Credit Information") as necessary and appropriate.

Specifically, the undersigned informed the Customer that (i) the Customer's authorization would be relied upon by third-party financial institutions in order to obtain the Customers Credit Information, (ii) the Customers application would be shared with such financial institutions and (iii) such financial institution's would retain the Customers application whether or not it is approved.

Pursuant to Section 101 (e) of the ESIGN Act, the Customer's authorization is in a form that is capable of being retained and accurately reproduced for later reference by the undersigned at the request of either NCFC or any government entity. The undersigned has informed (or promptly following delivery of this form, will inform) the Customer that NCFC was provided such information as a potential source of financing and the undersigned has provided (or will provide) the customer with NCFC's contact information.
Dealership Name
By
Date

MonthDayYear
Date
Name
Title
Should be Empty:

NCFC

AUTO FINANCING

CREDIT APPLICATION

APPLICANT INFORMATION

(PLEASE PRINT CLEARLY)

NAME, ADDRESS, & PHONE OF LANDORD OR MORTGAGE HOLDER

ANNUAL SALARY

REFERENCES PERSONAL- FAMILY

NCFC

AUTO FINANCING