Premier Automotive right

Credit Application :: Buyer Information

 

Complete the brief application below and you will receive an email confirming we have received and are reviewing your application. It’s quick and easy. Because of our high volume of business with our lenders, we are able to shop for, and find, the best finance deal for YOU, saving you time and money! So, whether your credit is excellent or a little less than perfect, Premier Clearance Center can help.
 

 
TYPE OF LOAN

PLEASE SELECT LOAN REQUEST TYPE Individual Joint

BUYER PERSONAL INFORMATION

* FIRST NAME

* LAST NAME

* STREET ADDRESS

* CITY

STATE

ZIP

* EMAIL * CONFIRM EMAIL
DAY PHONE HOME PHONE
* SOC. SEC. NO. DRIVERS LICENSE NO.
* DATE OF BIRTH

/ /

BEST TIME TO CONTACT

PREFERRED METHOD

* DO YOU

MONTHLY PAYMENT

MORTGAGE HOLDER OR LANDLORD

TIME AT RESIDENCE

YRS MO

BUYER EMPLOYMENT INFORMATION

EMPLOYER

POSITION/TITLE

 
JOB TIME

 

BUSINESS PHONE

BUSINESS ADDRESS

CITY STATE

ZIP

GROSS ANN. SALARY $  
OTHER INCOME SOURCE
(alimony, etc.)
MONTHLY INCOME $

BUYER CREDIT / PERSONAL REFERENCES

PREVIOUS EMPLOYER
/ SCHOOL

   
WILL YOU BE TRADING

YES  NO

AMOUNT OWED $

AUTO CREDIT REF.

 
OTHER CREDIT REF.

BALANCE

NEAREST RELATIVE      
NAME RELATIONSHIP
ADDRESS PHONE
OTHER REFERENCE      
NAME

PHONE

I certify that the above information is complete and correct. I authorize Premier Clearance Center to obtain credit reports about me and investigate my credit history.

YES NO