Secure Loan Application

Primary Borrower Information

Personal

First Name:

Last Name:

Social Security Number:

- -

Birthday:

/ /

Phone:

Email:

Home Address:

City:

State:

Zip:

Residence Type:

Monthly House Payment:

Time at Residence:

Years Months

Employment

Employer Name:

Business Phone:

Time on Job:

Years Months

Monthly Gross Income (Before Taxes):

Other Income Monthly:

Source of 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

Bank Information

Checking:

Yes No

Savings:

Yes No

Down Payment

Maximum Down Payment:

Vehicle Information

Desired Vehicle:

Consent

Consent:

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

Co-borrower Information

Personal

First Name:

Last Name:

Social Security Number:

- -

Birthday:

/ /

Phone:

Email:

Home Address:

City:

State:

Zip:

Residence Type:

Monthly House Payment:

Time at Residence:

Years Months

Employment

Employer Name:

Business Phone:

Time on Job:

Years Months

Monthly Gross Income (Before Taxes):

Other Income Monthly:

Source of 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

Bank Information

Checking:

Yes No

Savings:

Yes No

Down Payment

Maximum Down Payment:

Vehicle Information

Desired Vehicle:

Consent

Consent:

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.

Better Dealz Auto Sales & FinanceSecure Loan Application

Primary Borrower Information

Personal

Employment

Bank Information

Down Payment

Vehicle Information

Consent

Co-borrower Information

Personal

Employment

Bank Information

Down Payment

Vehicle Information

Consent

Better Dealz Auto Sales & Finance
Secure Loan Application