Secure Loan Application

Primary Borrower Information

Loan Information

Desired Loan Amount:

Desired Monthly Payment:

Down Payment Amount:

Personal

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Residence Type:

Mortgage/Rent Payment:

per month

Time at Residence:

Years

Time at Residence:

Months

Previous Address:

(if at current address less than 3 years)

Previous City:

(if current is less than 2 years)

Previous State:

Previous Zip:

Time at Previous Address:

Years

Time at Previous Address:

Months

Daytime Phone:

Evening Phone:

Email:

Social Security Number:

- -

Birthday:

/ /

Which accounts are in your name:

Utilities Savings Checking Phone

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

Driver Lic. Exp. Date:

(MM/DD/YYYY)

Additional Comments About Personal Information:

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Business Phone:

Occupation:

Monthly Gross Income:

(numbers only)

Time On Job:

Years

Time On Job:

Months

Previous Employer:

(If less than 3 years at current job)

Previous Employer Address:

Previous Employer City:

Previous Employer State:

Previous Employer Zip:

Previous Employer Phone:

Previous Occupation:

Previous Employer Time On Job:

Years

Previous Employer Time On Job:

Months

Other Income Amount:

per month

Source of Other Income:

Additional Comments About Employment History:

Vehicle Information

Year:

Make:

Model:

Mileage:

Stock Number:

Trade-In Details

Vin #:

Found on Driver's Door Jam or Driver's Side corner of the windshield

Year:

Make:

Model:

Mileage:

Condition:

Additional Comments:

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.

Co-borrower Information

Loan Information

Desired Loan Amount:

Desired Monthly Payment:

Down Payment Amount:

Personal

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Residence Type:

Mortgage/Rent Payment:

per month

Time at Residence:

Years

Time at Residence:

Months

Previous Address:

(if at current address less than 3 years)

Previous City:

(if current is less than 2 years)

Previous State:

Previous Zip:

Time at Previous Address:

Years

Time at Previous Address:

Months

Daytime Phone:

Evening Phone:

Email:

Social Security Number:

- -

Birthday:

/ /

Which accounts are in your name:

Utilities Savings Checking Phone

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

Driver Lic. Exp. Date:

(MM/DD/YYYY)

Additional Comments About Personal Information:

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Business Phone:

Occupation:

Monthly Gross Income:

(numbers only)

Time On Job:

Years

Time On Job:

Months

Previous Employer:

(If less than 3 years at current job)

Previous Employer Address:

Previous Employer City:

Previous Employer State:

Previous Employer Zip:

Previous Employer Phone:

Previous Occupation:

Previous Employer Time On Job:

Years

Previous Employer Time On Job:

Months

Other Income Amount:

per month

Source of Other Income:

Additional Comments About Employment History:

Vehicle Information

Year:

Make:

Model:

Mileage:

Stock Number:

Trade-In Details

Vin #:

Found on Driver's Door Jam or Driver's Side corner of the windshield

Year:

Make:

Model:

Mileage:

Condition:

Additional Comments:

Consent:

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.

ALBUQUERQUE AUTO OUTLETSecure Loan Application

Primary Borrower Information

Loan Information

Personal

Employment

Vehicle Information

Trade-In Details

Co-borrower Information

Loan Information

Personal

Employment

Vehicle Information

Trade-In Details

ALBUQUERQUE AUTO OUTLET
Secure Loan Application