(916) 645-CARS      (916) 645-2277

SECURE ONLINE CREDIT APPLICATION

* indicates required fields

Applicant's LAST Name*

FIRST Name*

Middle Int.

Address*

City*

State*

Zip*

Main Phone*

Cell Phone (if not main)

Social Security#*

E-Mail Address*

Birthdate*

Time at Current Address

Yrs*

Mos*

Previous Address (if less than 2 years)

City

State

Zip

Yrs

Mos

Occupation or Rank*

Employer*

Yrs*

Mos*

Mo. Income (Gross)*

<-Choose

one*

Previous Employer (if less than 2 years)

Yrs

Mos

Emloyer Phone*

Housing Info*:

Landlord/Payee*

Monthly Payment*

If this is an application is for individual credit, skip the next section and go directly to the SUBMIT button.  Please make sure all required* fields have entries.

Are you interested

in a particular vehicle on our lot?

Description of vehicle or stock#

Downpayment available

Do you have a trade-in?

Year-Make-Model

Balance Owed/Payoff

Comments:

Co-Applicant's LAST Name

FIRST Name

Middle Int.

Address (enter "same" if living w/applicant)

City

State

Zip

Main Phone

Cell Phone (if not main)

Social Security#

E-Mail Address

Birthdate

Time at Current Address

Yrs

Mos

Previous Address (if less than 2 years)

City

State

Zip

Yrs

Mos

Occupation or Rank

Employer

Yrs

Mos

Mo. Income (Gross)

<-Choose

one

Previous Employer (if less than 2 years)

Yrs

Mos

Emloyer Phone

Housing Info

(If different from applicant):

Landlord/Payee

Monthly Payment

By clicking 'Send', you submit and certify that all of the statements in this application are true and are made for the purpose of obtaining credit and further that you acknowledge having read the company’s Privacy Policy Notice , Electronic Disclosures Notice, and the Federal Notice . You authorize us to begin a credit investigation, including obtaining your consumer credit report, and to forward, or allow direct electronic access to, your application to lenders, financial institutions, or other third parties in order to process your application. We may obtain information about you as described in the Privacy Policy Notice, which we handle as stated in the Privacy Policy Notice. This does not apply to information obtained in a non-financial transaction.

Other Income

Source of Other Income

Other Income

Source of Other Income

<-Choose

one*