Secure Loan Application

Three Bridges Auto Sales
Secure Loan Application

Primary Borrower Information

Personal

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Phone:

Secondary Phone:

Email:

Social Security Number:

- -

Birthday:

/ /

Marriage Status:

Single Married

Mortgage/Rent Payment:

per month

Landlord or Mortgage Holder Name:

Residence Type:

Time at Residence:

Years

Time at Residence:

Months

If you have lived at your current residence less than 2 years, please enter your prior address:

Time at Previous Address:

Years

Time at Previous Address:

Months

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

Driver Lic. Exp. Date:

(MM/DD/YYYY)

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Business Phone:

Occupation:

Time On Job:

Years

Time On Job:

Months

Gross Monthly Income (before taxes):

(numbers only)

Other Income:

per month

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

If Current Job is less than 2 years please input Previous Employment

Previous Employer Name:

Previous Employer Address:

Previous Employer City:

Previous Employer State:

Previous Employer Zip:

Business Phone:

Time on Job:

Years Months

Salary:

monthly before taxes

Vehicle Choice (Please note that application is for one specific vehicle)

Vehicle Make:

Vehicle Model:

Vehicle Year:

Stock Number:

Down Payment

Down Payment Amount:

Trade-In Details

Trade-In Make:

Trade-In Model:

Trade-in Year:

Trade-in Mileage:

Pay off owed on Trade-In?:

Pay off owed to whom?:

Current monthly payment amount:

Additional Comments:

Consent

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

Personal

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Phone:

Secondary Phone:

Email:

Social Security Number:

- -

Birthday:

/ /

Marriage Status:

Single Married

Mortgage/Rent Payment:

per month

Landlord or Mortgage Holder Name:

Residence Type:

Time at Residence:

Years

Time at Residence:

Months

If you have lived at your current residence less than 2 years, please enter your prior address:

Time at Previous Address:

Years

Time at Previous Address:

Months

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

Driver Lic. Exp. Date:

(MM/DD/YYYY)

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Business Phone:

Occupation:

Time On Job:

Years

Time On Job:

Months

Gross Monthly Income (before taxes):

(numbers only)

Other Income:

per month

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

If Current Job is less than 2 years please input Previous Employment

Previous Employer Name:

Previous Employer Address:

Previous Employer City:

Previous Employer State:

Previous Employer Zip:

Business Phone:

Time on Job:

Years Months

Salary:

monthly before taxes

Vehicle Choice (Please note that application is for one specific vehicle)

Vehicle Make:

Vehicle Model:

Vehicle Year:

Stock Number:

Down Payment

Down Payment Amount:

Trade-In Details

Trade-In Make:

Trade-In Model:

Trade-in Year:

Trade-in Mileage:

Pay off owed on Trade-In?:

Pay off owed to whom?:

Current monthly payment amount:

Additional Comments:

Consent

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.

Three Bridges Auto SalesSecure Loan Application

Primary Borrower Information

Personal

Employment

If Current Job is less than 2 years please input Previous Employment

Vehicle Choice (Please note that application is for one specific vehicle)

Down Payment

Trade-In Details

Consent

Co-borrower Information

Personal

Employment

If Current Job is less than 2 years please input Previous Employment

Vehicle Choice (Please note that application is for one specific vehicle)

Down Payment

Trade-In Details

Consent

Three Bridges Auto Sales
Secure Loan Application