256-783-6226
704 Oakwood Ave NW, Huntsville, AL 35811
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Finance Application
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Inventory
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Finance Application
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Finance Application
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Finance Application
FINANCE APPLICATION
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Joint or Individual Financing?
*
JOINT CREDIT
INDIVIDUAL CREDIT
If married, you have the right to apply for credit separately from or jointly with your spouse.
Vehicle
*
VIN#
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Mileage
*
Amount Requested $
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Down Payment
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APPLICANT: Name (First Name then Last Name - in that order)
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Social Security No.
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Date of Birth
*
Residence Address: (Street)
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Residence Address: (City)
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Residence Address: (State)
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Residence Address: (Zip)
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How Long (Yrs.)?
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Mailing Address: (Street) (if different from Residence Address)
Mailing Address: (City)
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Mailing Address: (State)
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Mailing Address: (Zip)
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Home Phone No.
Cell Phone No.
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Previous Address: (Street) (if less than 2 years)
Previous Address: (City)
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Previous Address: (State)
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Previous Address: (Zip)
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How Long (Yrs.)?
No. Dependents
Buy, Rent, Own or Other?
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Buy
Rent
Own
Other
Landlord or Mortgage Holder
Which one are you?
Mortgage or Rent Payment ($ per Mo.)
*
Purchase Price of Property $
Estimated Home Value $
1st. Mort. Balance
Current Employer's Name:
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Current Employer's Address: (Street)
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Current Employer's Address: (City)
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Current Employer's Address: (State)
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Current Employer's Address: (Zip)
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Current Occupation
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Employment Date for Current Occupation
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Work Phone No. (and Ext. if one)
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Monthly Income From Employer (GROSS: $)
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Total amount before taxes
Previous Employer
Previous Employment Date
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All Other Monthly Income (GROSS: $)
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Source(s) of Other Income
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Total Monthly Income (GROSS: $)
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OTHER INCOME
*
*("Income from alimony, child support, or separate maintenance need not be revealed if you do not choose to rely on such income in applying for credit.")
Read and check box.
Have you taken bankruptcy within the last 7 years?
*
No
Yes
Indicate year taken
Bank Reference: (Name)
Bank Reference Address: (Street)
Bank Reference Address: (City)
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Bank Reference Address: (State)
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Bank Reference Address: (Zip)
*
Type of Accounts with Bank Reference:
Checking
Saving
Loan
Other
Personal Reference (Relative or Friend): (Name)
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Personal Reference (Relative or Friend) Address: (Street)
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Personal Reference (Relative or Friend) Address: (City)
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Personal Reference (Relative or Friend) Address: (State)
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Personal Reference (Relative or Friend) Address: (Zip)
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Personal Reference (Relative or Friend) Phone No.:
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Are you a co-maker or endorser on a note?
*
No
Yes
To whom
Are you obligated to pay alimony, child support, etc.?
*
No
Yes
Amount $
Auto Yr / Model
Financed By
Applicant or Co-applicant?
Applicant
Co-applicant
Auto Yr / Model
Financed By
Applicant or Co-applicant?
Applicant
Co-applicant
CO-APPLICANT: Name (First Name then Last Name - in that order)
Social Security No.
*
Date of Birth
*
Residence Address: (Street)
*
Residence Address: (City)
*
Residence Address: (State)
*
Residence Address: (Zip)
*
How Long (Yrs.)?
*
Home Phone No.
Cell Phone No.
*
No. Dependents
Checkboxes
*
Buy
Rent
Own
Other
Rent or Payment ($ per Mo.)
*
Employer's Name:
Employer's Address: (Street)
Employer's Address: (City)
Employer's Address: (State)
Employer's Address: (Zip)
Occupation
*
Employment Date
*
Work Phone No. (and Ext. if one)
*
Monthly Income From Employer (GROSS: $)
*
Total amount before taxes
Previous Employer
Previous Employment Date
*
All Other Monthly Income* (GROSS: $)
*
Source(s) of Other Income
Total Monthly Income (GROSS: $)
*
OTHER INCOME
*
*("Income from alimony, child support, or separate maintenance need not be revealed if you do not choose to rely on such income in applying for credit.")
Read and check box.
Have you taken bankruptcy within the last 7 years?
*
No
Yes
Indicate year taken
*
Bank Reference: (Name)
Bank Reference Address: (Street)
Bank Reference Address: (City)
Bank Reference Address: (State)
Bank Reference Address: (Zip)
Type of Accounts with Bank Reference:
Checking
Saving
Loan
Other
Personal Reference (Relative or Friend): (Name)
Personal Reference (Relative or Friend) Address: (Street)
Personal Reference (Relative or Friend) Address: (City)
Personal Reference (Relative or Friend) Address: (State)
Personal Reference (Relative or Friend) Address: (Zip)
Personal Reference (Relative or Friend) Phone No.:
Are you a co-maker or endorser on a note?
*
No
Yes
To whom
*
Are you obligated to pay alimony, child support, etc.?
*
No
Yes
Amount $
*
Affirmation
*
I/We the undersigned Applicant(s) for credit do hereby affirm that the information contained in this application is true and correct in all respects and I/we understand that it will be relied upon by the processing company, its subsidiaries and affiliates, and any seller or goods who may be assigning a retail installment sales contract to the processing company ("Seller), in making the decision to extend credit to me/us. I/we authorize the processing company and Seller, if applicable, to make whatever inquiries they deem necessary to verify the information contained in this application, including, but not limited to, obtaining my/our personal credit reports. I/we authorize any person or credit reporting agency to provide any information that they may have about me/us in response to such inquiries and agree that such information, together with this application, shall be the property of the processing company and Seller, as applicable, whether or not credit is extended. I/we consent to the processing company calling or sending me/us a text message at any phone number(s) listed in this application, or such other phone number(s) as I/we may later provide. This consent shall include making calls using an automatic telephone dailing system or an artificial or prerecorded voice.
Read and check box.
Driver's License No. and State (or State I.D. No.)
*
Other Qualifying I.D.
Applicant's Signature
*
Clear Signature
Date
*
Co-applicant's Signature
*
Clear Signature
Date
*
Comment
Submit
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