Secure Loan Application

Bubba Hill Auto Plaza
Secure Loan Application

Primary Borrower Information

Personal

First Name:

Last Name:

Social Security Number:

- -

DOB:

/ /

Home Phone:

Cell Phone:

Drivers Lic. #:

Email:

Residence Information

Street Address:

Time at Address:

City,State,Zip Code:

Years in Area:

Rent or Own:

Monthly Housing Expense:

Employment

Employer:

Job Title:

Time On Job:

Years

Time On Job:

Months

Income:

per month

Phone:

Supervisor:

Financial Information

Down Payment Amount:

Type of Vehicle:

Consent

Consent:

I have answered all the questions truthfully.All information is accurate as of this date unless otherwise stated.I understand that additional information may be obtained form other sources and each source is hereby authorized to provide the information requested.

Type Yes or Now to Authorize:

I certify that the above information is complete and accurate.I authorize and investigation of my credit and employment history and he release of information about my credit experience

Down Payment

Down Payment Amount:

Must be $1,000 or more

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.

Bubba Hill Auto PlazaSecure Loan Application

Primary Borrower Information

Personal

Residence Information

Employment

Financial Information

Consent

Down Payment

Co-borrower Information

Bubba Hill Auto Plaza
Secure Loan Application