Secure Credit Application by Shamrock Cars

We can offer many sources of financing for our vehicles, including through credit unions. We are able to help arrange financing for most people.

Please fill out form completely in order to qualify.

     
* Required    
     
PERSONAL INFORMATION
     
* First Name:   
M. Initial:   
* Last Name:   
Suffix:   
Marital Status  
* Email Address:   
* Home Phone:   
Work Phone:   
Cell Phone:   
* Date of Birth:   
* Social Security #:   
* Driver's License #:   
* Issued In:   
     
ADDRESS INFORMATION
     
* Address:   
* City:   
* State:   
* Zip:   
Do you Rent or Own:   
Monthly Rent/Mortgage $  
How long have you stayed here?:    Years
Months
     
CO-APPLICANT (If Applicable)
     
First Name:   
M. Initial:   
Last Name:   
Suffix:   
Email Address:   
Home Phone:   
Work Phone:   
Cell Phone:   
Date of Birth:   
Social Security #:   
Driver's License #:   
Issued In:   
     
CO-APPLICANT CURRENT ADDRESS
     
Address:   
City:   
State:   
Zip:   
How long did you stay there?:    Years
Months
     
EMPLOYMENT INFORMATION
     
     Current Employer
* Work Status:   
* Company:   
* Phone Number  
Job Title:   
* Paid (wk, bi-wk)  
* Monthly Gross Income $   (Before Taxes)
* How long on this job?:    Years
Months
     
     Co-App Current Employer
     
Company:   
Phone Number  
Job Title:   
Paid (wk, bi-wk)  
Monthly Gross Income $   (Before Taxes)
How long on that job?:    Years
Months
     
     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.
     
CERDIT INFORMATION
     
Have you ever had a car loan?:   
Have you ever had a vehicle repossessed?:   
How would you rate your credit on a scale 1 to 10?:    (1 being the worst 10 being excellent)
     
VEHICLE INTERESTED IN
     
Year:   
Make:   
Model:   
* How much are you looking to put down as a down payment?:   
Purchase Time:   
     
TRADE-IN VEHICLE
     
Year:   
Make:   
Model:   
Mileage:   
Estimated Payoff :
 
     
COMMENTS
Please let us know of any additional information we should consider.
     
     

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.

 
By typing my name below, this certifies that the above information is true and complete to the best of my knowledge and serves as my electronic signature.
     
* Your Signature :