CREDIT APPLICATION First Name:   Last Name: Application Date Address:   City State Zip: Home Phon: Cell Phone: Email: How long at this address year: Rent : Own Monthly Payment: Date of Birth: Applicant Social Security #: Co Applicant Social Security #: Applicant Driver license #: Employer Name: Applicant job title: How long with this employer years: Applicant monthly income: Co-Applicant monthly income: Other Income Total Gross Income: Work Phone: Declared Bankruptcy in the last 7 year: Yes No Cosigner available (If needed)?             Yes No Do you have existing auto loan?            Yes No Do you have automobile insurance?      Yes No Bank reference: Branch : Phone : Applicant Do you have a copy of Electric Bill, or Telephone Bill, or document indicating the address of your Yes No Do you authorize us to check your credit? Ye s No Do you authorize us to forward your application information? Yes No Additional Customer Comments   The undersigned, (1) make the above representations, which are certified to be correct, for the purpose of securing credit; (2)authorize financial institutions to obtain consumer credit report on me periodically and to gather employment history as they consider necessary and appropriate; (3) authorize your affiliates to obtain consumer credit reports on me; (4) understand that we, or any financial institution to whom this application is submitted, will retain this application whether or not it is approved, and that it is the applicant responsibility to notify the creditor of any change of name address, or employment; (5) I authorize the dealer and any assignee or other person to whom this application is submitted to share and use information about me, including information in my application, with other entities related to them by common ownership or affiliated with them by common control for the purposes of obtaining automobile loan for me.