Credit Application

Dealer Credit Application


1. Personal Information



2. Current Address




3. Prior Address



4. Nearest Relative not in Household



5. Present Employer



6. Prior Employer



7. Bank Reference



8. Spouse Information


Complete this section ONLY if your spouse will  also be contractually liable for repayment of applicant or is relying on the income of the spouse. Co-Applicants, other than a spouse,  mustcomplete a separate application.


I (we) certify the above information to be true in every respect and that it correctly reflects my current financial condition. I (we) authorize the Creditor to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review or collection of any credit extended in reliance on the application including, without limitation, inquiries to any agency of government - federal, state, or local. I (we) authorize and instruct any person, governmental agency or consumer reporting agency to compile and furnish the Creditor any information it may have or obtain in response to such inquiries and agree that same shall remain the property of the Creditor whether or not credit is extended.


Have any of the undersigned filed bankruptcy or have any judgements, repossessions, garnishments or other legal proceedings filed against the undersigned in the last seven years?

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