Your Information:
About Your Work:
Company Name:
Company Address:
Company Area Code: Phone #:
Immediate Supervisor:
How Long? YearsMonths
Monthly Gross Income:
*Source of other income, describe:
Amount of other income per month:
Anything about your income or prior credit you wish to tell us?
*Alimony, child support, or separate, maintenance income is not required
unless you choose to have such income considered regarding
extension and repayment of the credit requested
About Your Finances:
Debts Monthly Payment
In addition to Rent/Mortgage list all other debts including auto loans,
credit cards, second mortgage, home . dues, alimony, child support,
child care, medical utilities, auto insurance, IRS liabilities, etc. Please
use a separate line for each credit card and auto loan.
Credit line and Vehicle Requested:
Type of vehicle would you like:
Vehicle model name:
Approximate Amount requested:
Amount of Down Payment:
Have a trade? Describe it:
I certify that statements on this application are true and complete. I authorize any person, association, firm or corporation to furnish, on request, to Bob Stall Chevrolet or its assigns, information concerning me or my affairs. Please inform me of the best possible terms available to me regarding the purchase of a motor vehicle. My confidentiality is extremely important and every care shall be taken to safeguard it. Sec. 1014, Title 13, U.S. Code makes it a Federal
Crime to knowingly make a false statement on this or any application
for credit.
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