SELECT ONE PLEASE
Finance Buyer  -Estimated Down Payment: 
Cash Buyer (don't forget to ask about our cash discount)

HOME INFORMATION
Renting Home  -Landlord: 
-Phone:    numbers only (no dots or dashes)

Buying Home  -Mortgage Holder: 
-Phone:    numbers only (no dots or dashes)

PAYMENTS:    HOW LONG?: 

PERSONAL INFORMATION:
NAME:    DATE OF BIRTH: 
ADDRESS:    CITY: 
ZIP:       
HOME PHONE:        numbers only (no dots or dashes)
WORK PHONE:        numbers only (no dots or dashes)
WHOSE NAME IS YOUR HOME PHONE # LISTED UNDER?: 

PRESENT EMPLOYMENT INFORMATION:
COMPANY: 
ADDRESS:    CITY: 
ZIP:       
SUPERVISOR:    HOW LONG ON JOB:        (years)

LAST QUESTIONS:
Have you had a previous repossession of a vehicle or have you been foreclosed on:
Yes      No

Have you declared bankruptcy in the last 10 years?
Yes      No

Anti-Spam Question
3 + 5 =  

I certify that the above information is complete and accurate.  Auto Finance Company, Inc. may obtain or verify any employment, credit, or other information relating to my application.  Credit reports and employment verification may also be requested and used in connection with renewals and continuation of the credit for which I am applying.
If there are any changes in my employment, living situation, phone numbers, name, etc., I will notify Auto Finance Company Inc in writing immediately, throughout the entire length of my contract.
I understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts under the United States criminal code.
I agree to the statement above by checking this box.