AutoCarsLtd.com Credit Application

*Vehicle Applied For:       Price if any: 

Please Tell Us About Yourself

*Last Name :  *First Name:  *M.I.: *Birth Date:     *Driver's Lic. No.:  Social Security No.: Age Of Dependents:    Status: Married Single Separated *Address:    *City:  *State:  Zip Code :  Lived There : Yrs Mos   *Phone:  *Email: Previous Addresses (To cover 5 Year residence) Address City State Zip Code Lived There Yrs Mos Yrs Mos Nearest Relative Not Living With You: Address:  Relationship:   Phone:

Please Tell Us About Your Job

Occupation:  Present Employer:  Phone: Dept/Badge:    Address:  Worked There : Yrs Mos Previous Employment (To cover 5 year history) Employer Address Worked There Yrs Mos Yrs Mos

Please Provide Some Financial Information

Income Gross Monthly Income From Employment..................................................$ Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. Alimony, child support, or separate maintenance received under: --- Court Order Written Agreement Oral Understanding ...$ Amount of other monthly income and source(s)..........................................$ Asset And Debt Information Landlord/Mortgage Holder:   Rent Own       Address:   Account No.:   Mortgage Balance:  Payment/Rent : Purchase Date:    Age of Home:    Price Paid for Home:  Market Value:          2nd Mortgage Amount:        Payment: Type of Credit Company Name of All Obligations Account No. Closed Address Balance High Monthly Payments or Date Closed Present Vehicle Financed/Leased By Address Account No. Monthly Payments Bank Reference Branch Account No. Type Balance --- Checking Savings Loan --- Checking Savings Loan --- Checking Savings Loan Have you ever had any property repossessed with the past 7 years?   --- Yes No Do you have any law suits pending against you?   --- Yes No           Have you ever filed bankruptcy or is a bankruptcy proceeding in progress or expected?   --- Yes No Military Reserve   --- Yes No --- Active Inactive           Have you ever applied for credit in another name?   --- Yes No If yes what name:   Personal Friends Known Over One Year Address City State Zip Phone

Authorization

I understand that I make the above representations, which are correct, for the purpose of securing credit. I authorize financial institutions to obtain consumer credit reports on me periodically and to gather employment history as they consider necessary and appropriate. I authorize your affiliates to obtain consumer credit reports on me. I understand that any financial institution to whom it is submitted will retain this application whether or not it is approved, and that it is my responsibility to notify the creditor of any change of name, address or employment. I understand that I may submit my application to AutoCars Ltd. electronically by clicking "Submit Application". If I choose to submit this application electronically, I acknowledge that, regardless of whether I use a web browser with security features, AutoCars Ltd. is unable to ensure that the data will not be intercepted by third parties. I agree that AutoCars Ltd. will not be held liable should such interception occur. Unless the box is checked, I authorize the dealer and any assignee or other person to whom this application is submitted to share and use information about me, including information in my application, with other entities that are related to them by common ownership or affiliated with them by common control. If the box is checked, I direct the dealer and any assignee or other person to whom this application is submitted not to give information to such entities (other than information on their own transactions and experiences). PLEASE DO NOT SUBMIT MORE THAN ONE APPLICATION. BEFORE SUBMITTING YOUR APPLICATION, PLEASE VERIFY ALL ANSWERS ARE CORRECT.