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Finance Application
Customer Information 5
First Name
M.I.
Last Name
Email
Cell Phone
-
-
Home Phone
-
-
D.O.B.
SSN
-
-
Who is your salesperson?
I DON'T HAVE ONE
JAVIER ARAUJO
ZARIA ATTERBERRY
BRUCE BRAGG
GEOFFREY BROWN
DEAN BYRD
DREUX COLLIER
TOM COOPER
TODD COPELAND
FUNDING DEPARTMENT
SAMMY GAINES
OLIVIA GILLEY
CHRIS GIPSON
JON HUGHES
PAULA KELLY
DANI LASHBROOK
MATTHEW LAWRENCE
ZACK MOORE
DANIEL MUSTERMAN
MARLON PAZ
JOEY PETTEY
JORDAN RAYMOND
ANDREW RECTOR
JESUS SANCHEZ
KELIM SHINNO
JUSTIN SMITH
ASHLEY THRASH
JD THRASH
RYAN TITUS
MIKE WEST
DILLEN WEYER
APRIL WHITE
Address & Housing
Address
Apt
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
County
Housing Status
FAMILY
FRIENDS
HOMEOWNER
OTHER
RENT
Monthly Rent/Mortgage Amt.
Landlord / Mortgage Company
Landlord Phone
-
-
Time At Address
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
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13 Years
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17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Previous Address & Housing
Address
Apt
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
County
Housing Status
FAMILY
FRIENDS
HOMEOWNER
OTHER
RENT
Monthly Rent/Mortgage Amt.
Time At Address
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Employment Information
Current Employer
Position
Employment Type
ACTIVE MILITARY
CONTRACTOR
EMPLOYED
FULL TIME
OTHER
PART TIME
RETIRED
RETIRED MILITARY
SEASONAL
SELF-EMPLOYED
STUDENT
UNEMPLOYED
Time Employed
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Hire Date
Monthly Income
Phone
-
-
Address
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Additional / Other Income (Monthly)
Source of Other Income
Previous Employment Information
Previous Employer
Position
Employment Type
ACTIVE MILITARY
CONTRACTOR
EMPLOYED
FULL TIME
OTHER
PART TIME
RETIRED
RETIRED MILITARY
SEASONAL
SELF-EMPLOYED
STUDENT
UNEMPLOYED
Time Employed
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Hire Date
Monthly Income
Phone
-
-
Address
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Comments / Notes
Is there a co-applicant for financing?
YES
NO
Co-Applicant Information
First Name
M.I.
Last Name
Email
Cell Phone
-
-
Home Phone
-
-
D.O.B.
SSN
-
-
Co-Applicant Address & Housing
Address
Apt
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
County
Housing Status
FAMILY
FRIENDS
HOMEOWNER
OTHER
RENT
Monthly Rent/Mortgage Amt.
Landlord / Mortgage Company
Landlord Phone
-
-
Time At Address
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Co-Applicant Previous Address & Housing
Address
Apt
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
County
Housing Status
FAMILY
FRIENDS
HOMEOWNER
OTHER
RENT
Monthly Rent/Mortgage Amt.
Time At Address
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Co-Applicant Employment Information
Current Employer
Position
Employment Type
ACTIVE MILITARY
CONTRACTOR
EMPLOYED
FULL TIME
OTHER
PART TIME
RETIRED
RETIRED MILITARY
SEASONAL
SELF-EMPLOYED
STUDENT
UNEMPLOYED
Time Employed
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Hire Date
Monthly Income
Phone
-
-
Address
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Additional / Other Income (Monthly)
Source of Other Income
Co-Applicant Previous Employment Information
Previous Employer
Position
Employment Type
ACTIVE MILITARY
CONTRACTOR
EMPLOYED
FULL TIME
OTHER
PART TIME
RETIRED
RETIRED MILITARY
SEASONAL
SELF-EMPLOYED
STUDENT
UNEMPLOYED
Time Employed
0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
19 Years
20 Years
21 Years
22 Years
23 Years
24 Years
25 Years
26 Years
27 Years
28 Years
29 Years
30 Years
31 Years
32 Years
33 Years
34 Years
35 Years
36 Years
37 Years
38 Years
39 Years
40 Years
41 Years
42 Years
43 Years
44 Years
45 Years
46 Years
47 Years
48 Years
49 Years
50 Years
0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Hire Date
Monthly Income
Phone
-
-
Address
Zip
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
By submitting this application, I certify that all information herein is true and complete. I agree I am providing this information to the dealer identified in this application and acknowledge that my information may be shared pursuant to the dealerās privacy policy, if applicable. I hereby authorize this dealer, and any financial institution engaged as a service provider by this dealer, to retain this application and to check and verify my credit, employment and salary history. By submitting this application, I acknowledge I am authorizing this dealer to check my credit.
I Agree
YES
NO
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Contact Information
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Phone:
Vehicle Information
VIN:
Year:
Make:
Model:
Color:
Mileage:
Engine:
Transmission:
Automatic
Manual
Drivetrain:
2WD
4WD
AWD
Doors:
2
3
4
5
Options:
Adaptive Cruise Control
Air Conditioning
Airbags
Alarm System
Anti-theft Protection
Audio Interface
Auto Start/Stop
Automatic Climate Control
Automatic Headlights
Bi-Xenon Headlights
BOSEĀ® Surround Sound
BurmesterĀ® Surround Sound
CD/DVD Autochanger
CDR Audio
Cruise Control
Direct Fuel Injection
Electric Parking Brake
Floor Mats
Garage Door Opener
Leather Package
Locking Rear Differential
Luggage Compartments
Manual Transmission
Navigation Module
Online Services
Park Assist
Porsche Communication
Power Steering
Reversing Camera
Roll-over Protection
Seat Heating
Seat Ventilation
Sound Package Plus
Sport Chrono Package
Steering Wheel Heating
Tire Pressure Monitoring
Universal Audio Interface
Voice Control System
Wind Deflector
Hold
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Vehicle Rating
10 is best condition, 1 is worst
Body (dents, dings, rust, rot, damage)
10
9
8
7
6
5
4
3
2
1
Engine (running condition, burns oil, knocking)
10
9
8
7
6
5
4
3
2
1
Glass (chips, scratches, cracks, pitted)
10
9
8
7
6
5
4
3
2
1
Exhaust (rusted, leaking, noisy)
10
9
8
7
6
5
4
3
2
1
Tires (tread wear, mismatched)
10
9
8
7
6
5
4
3
2
1
Transmission / Clutch (slipping, hard shift, grinds)
10
9
8
7
6
5
4
3
2
1
Interior (rips, tears, burns, faded/worn, stains)
10
9
8
7
6
5
4
3
2
1
Vehicle History
Did you buy the vehicle new?
Y
N
Was it ever a lease or rental return?
Y
N
Is the odometer operational and accurate?
Y
N
Are there detailed service records available?
Y
N
Has the vehicle ever been in an accidents?
Y
N
Is there existing damage on the vehicle?
Y
N
Has the vehicle ever had paint work performed?
Y
N
Does all equipment and accessories function correctly?
Y
N
Is the title designated 'Salvage' or 'Reconstructed'?
Y
N
Title History
Is there a lienholder?
Y
N
Who holds the title?
Select...
Me
Lender
Other
Comments / Explanations:
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