Credit Application | www.i-5motors.com

Application Information

Application Type: *

If filing jointly, please fill out the name of the other person below, and have them file a separate application.

Name of other person:

Identification

First Name: *

Middle Initial: *

Last Name: *

Date of Birth: *

Driver's License #: *

Contact Information

Cell Phone: *

E-Mail: *

Other Phone:

Address Information

Address: *

City: *

State: *

Zip:

How long at current residence? Years: *

Months: *

Do you rent or Own?: *

Monthly Rent / Mortgage: *

Landlord or Mortgage Company: *

Landlord or Mortgage Company Phone:

If less than 2 years - please complete previous history information below.

Previous Residence

Previous Address:

Previous City:

Previous State:

Previous Zip:

How long at previous residence? Years:

Months:

Employment History

Current Employer: *

Phone: *

Monthly Gross Income: *

Position/Occupation: *

Address: *

City: *

State: *

Zip: *

Job Length? Years: *

Months: *

If less than 2 years - please complete previous history information below.

Previous Employment

Previous Employer:

Address:

City:

State:

Zip:

Previous Job Length? Years:

Months:

Other Income

Other Monthly Income - $:

Source of other income (disability, alimony, child support):

Vehicle of Interest

Stock #:

Year:

Make:

Model:

Credit Report Authorization

I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above.

Credit Check: *

(Initial here) *required: *