Credit Application Form Use this form to begin the financing pre-approval process  *These fields are required 1) Contact Information *First Name              *Last Name   Street Address   City                           State    ZIP code   *Day Phone             -  -  *Evening Phone       - -  *E-Mail                     Fax Number              - -  Preferred Contact     Day Phone Evening Phone Email   2) Applicant Information *Birthdate (mm/dd/yyyy)  -   -    *Residence Type (select one)  Own  Rent  Family  Other *Time at Residence: Years:   Months: *Mortgage/Rent Payment (per month) Note: Co-applicant information can be entered in Additional Information section. 3) Employment Information Employer   Address   Business Phone  - - Occupation   Time on Job   Annual Salary   4) Desired Vehicle Manufacturer   Model   Year   Mileage   VIN Number   5) Trade-In Information Manufacturer   Model   Year   Mileage   VIN Number   6) Additional Information *Signature of applicant                          *Date                                       I/We affirm that all the information in this credit application is complete and true, whether completed by me/us or by you at my/our direction.  During the review of my/our credit application, you may obtain my/our credit history and/or a consumer report, and if the application is approved you may at any time obtain additional credit history to review my/our account.  I/We also give any other source my/our permission to give you credit information about me/us. The Ohio laws against discrimination require that all creditors make credit equally to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request.  The Ohio Civil Rights Commission administers compliance with this law..

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