Financing FAQ's and Online Application


We will try to help you understand what's involved in getting a successful finance application approved.

Need to view your Credit report before filling out this form?

Go to http://www.consumerinfo.com

Since this form resides on the Server, when you you fill this form out it will never leave the server area therefore it is not necessary to have a secured page here. Really! I'm not kidding! This form is automatically routed to a Password Protected folder on the server and can only be retrieved by us.

Tell us about yourself

First name
Last name
Middle initial
Date of birth
Sex Male Female
Height
Weight
Drivers License # (For Residence Verification)
Social Security #
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
FAX (If Any)
E-mail (If Any)
URL (If Any)

Work History

Job Title
Employer Name
Employer Address
Employer City
Employer State
Employer Zip
Work Phone #
Time Employed (Month and Year)
Salary / Hourly Wage Per Hour Year

Credit References

How many Visa Cards do you Have?

(For Reference Only)

Visa Account #

(For Reference Only)

How Many Master Cards do you   Have?

(For Reference Only)

Master Card Account #

(For Reference Only)
Other Card? (For Reference Only)
Other Card Account # (For Reference Only)
Do You have a Checking Account Yes No
Who do you Bank with?
Banking Branch (Or Address)
Automobile Make (Ford, Chevy etc.)
Model (Taurus, Blazer etc.)
Year
Financed by
Monthly Payment
Nearest Relative not living with you
Relative's Address
Relative's Phone #
Relationship

s

Additional Comments

This form is designed for single applicants only. We cannot do a Co-Applicant Applications at this time.

Please Click Here to view the Important Notices before signing.

By signing below, you certify that all the information given in this Application is true and complete. You also authorize us to confirm the information in this Application and give out information about you or your Account to credit reporting agencies and others who are allowed to receive it. You authorize and instruct us to request and receive credit information about you from any credit reporting agency or third party.

Applicant Signature
Today's Date
Social Security Number (For Verification)

This form WILL be processed within 24hrs.

Would you like your answer via:

Email       Postal Mail     Phone

 

Copyright 1997-1998 FLattop WeBWiZ.
Last revised: September 25, 2002