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Cars Direct Inc - Las Vegas, NV
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Secure Loan Application
Loan Information
Desired Loan Amount:
Desired Monthly Payment:
Down Payment Amount:
First Name:
Middle Initial:
Last Name:
Daytime Phone:
Evening Phone:
Social Security Number: - -
Birthday: / /
Mortgage/Rent Payment: per month
Residence Type:
Time at Residence: Years
Time at Residence: Months
Which accounts are in your name: Utilities Savings Checking Phone
If you have lived at your current residence less than 5 years, please enter your prior address:
Drivers Lic. #:
Drivers Lic. State: (CA,NY, etc.)
Driver Lic. Exp. Date: (MM/DD/YYYY)
Employer Name:
Employer Address:
Employer City:
Employer State:
Employer Zip:
Business Phone:
Time On Job: Years
Time On Job: Months
How much per paycheck:
How many hours per week:
How much per hour:
How Often Do You Get Paid?
Other Income: per month
Consent: I agree that by submitting this application, I authorize and give this dealership, as well as any potential financing source this dealership presents this application to, my consent to obtain my credit report from any credit reporting agency used to complete an investigation of my credit.
Previous Employment
Previous Employer Name:
Previous Employer Address:
Previous Employer City:
Previous Employer State:
Previous Employer Zip:
Previous Employer Phone:
Time on Job:Years
Time on Job:Months
Salary:per month
Vehicle Information
Vehicle Make:
Vehicle Model:
Vehicle Year:
Vehicle Mileage:
Trade-In Details
Trade-In Make:
Trade-In Model:
Trade-in Year:
Trade-in Mileage:
Additional Comments:

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 dealer’s 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.

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