Special Finance of Charleston LLC
Secure Loan Application

Primary Borrower Information

Loan Information

Yes No

Personal (Actual Name as appears on Drivers License)

Single Married Divorced Widowed Separated
- -
Years
Months
(CA,NY, etc.)
(MM/DD/YYYY)

Employment

Years
Months
/ /
per month

Second Employment

/ /
/ /
Years
Months

Previous Employment

/ /
/ /
Years
Months

Personal References

Trade-In Details

Signature of Applicant / Joint Applicant

I consent that by submitting this application, I am authorizing this dealership to check my credit.

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.