Secure Loan Application

Velascos Used Car Sales
Secure Loan Application

Primary Borrower Information

Vehicle Information

Vehicle:

VIN:

Trade Info:

Sales Price:

Pay Off

Loan Information

Sales Price:

Cash Down

Trade-In:

Balance

Amount Requested:

Purpose:

Personal

Applicants Last Name:

First Name:

Middle Initial:

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

Date of Birth:

/ /

Marital status:

Social Security Number:

- -

Email:

Address:

City:

State:

Zip:

Daytime Phone:

Time at Residence:

Years

Time at Residence:

Months

Applicant's Complete Previous Address:

How long:

Mortgagee or Landlord & Address

Closest Relative Not Living With You:

(Other than co-applicant)

Relative's Address:

Cell Phone:

Relationship:

Closest Relative Not Living With You:

(Other than co-applicant)

Second Relative's Address:

Cell Phone:

Relationship:

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Date of Employment:

(MMYY)

Gross Inc.:

Monthly Take Home:

Position/OCC:

Supervisor:

Phone:

Previous Employer Name:

Previous Employer City:

Previous Employer State:

Previous Employer Time On Job:

Years

Previous Employer Time On Job:

Months

Supervisor:

Consent

I hereby state I have an Insurance policy covering the perils of fire, theft, comprehensive, collision, liability, and will name the seller or any assignee of the contract, as payee, Insurance Agent's Complete Name, Address, and Phone No. Listed Below.

Insurance Agent

I (we) hereby warrant that I (we) exclusively own and possess the above indicated personal property and that no liens, contracts, or encumbrances what-so-ever are on or against said personal property except:

Consent:

Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application and any other credit information you receive whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me. I authorize any person or consumer reporting agency to complete and furnish to you any information it may have or obtain in response to your credit inquires whenever you make them. The undersigned hereby certify that the information contained on this application and financial statement is true and complete: warrant that we have no debts, financial obligations or liabilities not fraudulent, and may be the be the basis for denying a discharge in bankruptcy. I further state that I am not contemplating a bankruptcy action at the present time and that I have no executions or pending legal proceedings against me. For the purpose of obtaining credit I/we affirm that the above statement is true, complete, an correct. You or United Finance Co, or Subsidiaries shall be privileged to make any investigation concerning me/us and concerning the above inquiries and to disclose to each other and to any other interested parties the result of such investigations or your experience with my account.

Signature of Applicant / Joint Applicant

Date:

/ /

Signature of Applicant / Joint Applicant

Applicant's Mailing Address

Co-Applicant Signature:

Co-Applicant's Mailing Address

Co-borrower Information

Loan Information

Sales Price:

Cash Down

Trade-In:

Balance

Amount Requested:

Purpose:

Personal

Applicants Last Name:

First Name:

Middle Initial:

Drivers Lic. #:

Drivers Lic. State:

(CA,NY, etc.)

Date of Birth:

/ /

Marital status:

Social Security Number:

- -

Email:

Address:

City:

State:

Zip:

Daytime Phone:

Time at Residence:

Years

Time at Residence:

Months

Applicant's Complete Previous Address:

How long:

Mortgagee or Landlord & Address

Closest Relative Not Living With You:

(Other than co-applicant)

Relative's Address:

Cell Phone:

Relationship:

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Date of Employment:

(MMYY)

Gross Inc.:

Monthly Take Home:

Position/OCC:

Supervisor:

Phone:

Previous Employer Name:

Previous Employer City:

Previous Employer State:

Previous Employer Time On Job:

Years

Previous Employer Time On Job:

Months

Supervisor:

Consent

Insurance Agent

Consent:

Signature of Applicant / Joint Applicant

Date:

/ /

Signature of Applicant / Joint Applicant

Applicant's Mailing Address

Co-Applicant Signature:

Co-Applicant's Mailing Address

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.

Velascos Used Car SalesSecure Loan Application

Primary Borrower Information

Vehicle Information

Loan Information

Personal

Employment

Signature of Applicant / Joint Applicant

Co-borrower Information

Loan Information

Personal

Employment

Signature of Applicant / Joint Applicant

Velascos Used Car Sales
Secure Loan Application