Secure Credit Application

If you have your own financing, great!  If not and your credit is bruised, we can help too.  Getting financing for one of our vehicles is as easy as ABC.  No matter how good or how bad your credit score is, it will not keep you from being approved.  We report to the credit bureau monthly and it is a great chance to build or rebuild good credit. 

If you've test driven one of our vehicles and know you want it, but don't have all of the required down payment we can still help you with our Lay-A-Way program.  We will ask you for a deposit on the vehicle. Then we will mark it sold and park it with our our other Lay-A-Way vehicles until you are ready (up to six weeks). 

With our Lay-A-Way program you know you are going to get exactly the car you want.  You don't have to settle for something else after you've saved up your down payment. 

We want the opportunity to earn your business.  Our process is simple and quick.  Just complete our online credit application and you will shortly receive an approval letter to the email address you provide.  We promise no long drawn out Big-Lot finance department games.

You must fill this form out completely in order to qualify.

PERSONAL INFORMATION
First Name:
M. Initial:
Last Name:
Suffix:	Jr. Sr. I II III IV
Email Address:
Home Phone:
Work Phone:
Cell Phone:
The best way  to contact you:	Home Phone Work Phone Cell Phone Email Address
Date of Birth:
Social Security #:
Marital Status:	- select one - Single Married Divorced Separated Widowed
Number of Dependents:
ADDRESS INFORMATION
	Current Address
Address:
City:
State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip:
Do you Rent or Own:	- select one - Own Rent Other
Monthly Rent/Mortgage $:
How long have you stayed here?:	Years Months
	Previous Address  (If less than 5 years at current address)
Address:
City:
State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip:
How long did you stay there?:	Years Months
EMPLOYMENT INFORMATION
	Current Employer
Work Status:	- select one - Employed Self-employed Military Retired Unemployed
Company:
Job Title:
Address:
City:
State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip:
Monthly Gross Income $:	(Before Taxes)
How long on this job?:	Years Months
	Previous Employer  (If less than 5 years at current job)
Company:
Job Title:
Address:
City:
State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip:
How long on that job?:	Years Months
FINANCIAL INFORMATION
Credit History:	- select one - Excellent Good Fair Poor Not Sure
Bank/Credit Union Name:
Phone Number:
Account Number:
Account Type:	Checking & Savings Checking Only Savings Only Business Other
	Other Income / Expenses
	Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
VEHICLE INTERESTED IN
Year:
Make:
Model:
Purchase Time:	Within the next 72 hours Within the next 2 weeks Within the next month Undecided at this time
TRADE-IN VEHICLE
Year:
Make:
Model:
Mileage:
Estimated Payoff :
COMMENTS
Please let us know of any additional information we should consider.
How did you hear about ABC Motors?
Please review the information you have provided us for accuracy. Credit Report. A credit report may be obtained in connection with this application, for extension of credit for which application was made. Upon request, I will be told if a credit report(s) was/were obtained, and given the name and address of the credit reporting agency(s) providing the report(s). Credit Investigation. I authorize the dealer/Lender(s) to start a credit investigation, including verification of employment and income history from state records including State Employment Security Agency records, based on the information voluntarily provided by me which is true and correct, and reflects all my current debts. By submitting this form, you agree to the above. If you do not, please do not submit this information.