Ann
Street Auto Credit Application
Please
provide the information requested below. Thank you.
|
| General
Information |
| First
Name: |
MI:
|
| Last
Name: |
|
| Home
Phone: (With
area code) |
|
| Social
Security Number: (Example:
123-45-6789) |
|
| Email
Address |
|
| Residential
Address Information |
| Street
Address: (No
PO boxes) |
|
| Unit,
Suite or Apt #: (If
none, leave blank) |
|
| City,
State: |
|
| Zip
Code: (5
or 9 numbers) |
-
|
| Mailing
Address If Different Than Residential Address (optional)
Skip |
| Street
Address: (Street
address or PO Box) |
|
| Unit,
Suite or Apt #: (If
none, leave blank) |
|
| City,
State: |
|
| Zip
Code: |
-
|
| Housing
Information |
| Primary
Residence: |
|
| Estimated
Monthly Housing Payments: (Include
all mortgages or rent, property taxes, homeowners fees, and
insurance) |
$
|
| Employment
Information |
| Present
Employer: |
|
| Time
With Present Employer: |
Years:
Months:
|
| Hourly
Rate: |
$
Per/Hour |
| Gross
Monthly
Salary: |
$
Monthly |
| Comments |
Special
Instructions: Please
note any special time or range of times which you desire us
to contact you, if different from above. We can contact you
at any time during our regular business hours.
(Please enter a maximum of 3 lines)
|
|
By
clicking the "Submit" button below, you certify
that all of the statements in this application are true
and complete and are made for the purpose of obtaining credit.
You agree to provide and/or authorize Ann Street Auto Sales
and/or lending partners to obtain such additional information
as we may require, including credit reports, in order to
complete the processing of your application, and to release
information concerning your credit record and standing with
us to consumer reporting agencies and other appropriate
entities. ANN STREET AUTO SALES KEEPS ALL OF YOUR INFORMATION
STRICTLY CONFIDENTIAL AND DOESN'T DISCLOSE YOUR PERSONALLY
IDENTIFIABLE INFORMATION TO ANY MARKETING ORGANIZATION.
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