Secure Loan Application

TRI CITY AUTO SALES LLC
Secure Loan Application

Primary Borrower Information

Personal

First Name:

Last Name/Business Name:

Middle Initial:

Email:

Social Security Number:

- -

Address:

Birthday:

/ /

Residence Type:

City:

State:

Zip:

Home Phone:

Time at Address:

Years

Time at Address:

Months

Mortgage/Rent Payment:

per month

Employment

Employed by or type of business:

Occupation:

Time On Job:

Years

Time On Job:

Months

Work Phone:

Gross Annual Income (All Sources):

Other Income:

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for approval of this obligation

Marital Status

Marital Status:

Married Unmarried

Spouse Last Name:

Spouse First Name:

Spouse Employed By:

Occupation:

Gross Anunal Income:

Work Phone:

Time Employed:

Years Months

SSN:

- -

Birth Date:

/ /

Non Applicant Spouse Signs (if available):

Trade-In Details

Trade-In Make:

Trade-In Model:

Trade-in Model:

Trade-in Year:

Trade-in Mileage:

Trade Description:

Trade Lien Holder:

Pay off owed on Trade-In?:

ConsentL

I authorize Tri City Auto Sales to receive the payoff amount for the trade-in(s) listed above

Loan Application Signatures

Signature:

write your initals

Date

/ /

Date

/ /

Vehicle interested in

Vehicle Make:

Vehicle Model:

Vehicle Year:

Vehicle Mileage:

Co-borrower Information

Personal

First Name:

Last Name/Business Name:

Middle Initial:

Email:

Social Security Number:

- -

Address:

Birthday:

/ /

Residence Type:

City:

State:

Zip:

Home Phone:

Time at Address:

Years

Time at Address:

Months

Mortgage/Rent Payment:

per month

Employment

Employed by or type of business:

Occupation:

Time On Job:

Years

Time On Job:

Months

Work Phone:

Gross Annual Income (All Sources):

Other Income:

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for approval of this obligation

Marital Status

Marital Status:

Married Unmarried

Spouse Last Name:

Spouse First Name:

Spouse Employed By:

Occupation:

Gross Anunal Income:

Work Phone:

Time Employed:

Years Months

SSN:

- -

Birth Date:

/ /

Non Applicant Spouse Signs (if available):

Trade-In Details

Trade-In Make:

Trade-In Model:

Trade-in Model:

Trade-in Year:

Trade-in Mileage:

Trade Description:

Trade Lien Holder:

Pay off owed on Trade-In?:

ConsentL

I authorize Tri City Auto Sales to receive the payoff amount for the trade-in(s) listed above

Loan Application Signatures

Co-Applicant / Co-Signer/Guarantor/Endorser Signature :

write your Initials

Date

/ /

Vehicle interested in

Vehicle Make:

Vehicle Model:

Vehicle Year:

Vehicle Mileage:

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.

TRI CITY AUTO SALES LLCSecure Loan Application

Primary Borrower Information

Personal

Employment

Marital Status

Trade-In Details

Loan Application Signatures

Vehicle interested in

Co-borrower Information

Personal

Employment

Marital Status

Trade-In Details

Loan Application Signatures

Vehicle interested in

TRI CITY AUTO SALES LLC
Secure Loan Application