Application for Credit – D&S Auto Sales Scranton

bad credit? no credit? we have several financing options for all credit needs!

Name*
First Middle Last
Mobile Number
Home Phone
Email
Address*
Street Address Address Line 2 City / Town State ZIP
Social Security Number
Permission To Pull Your Credit Report*
- Yes
- No
Date of birth*
MM slash DD slash YYYY
Drivers License Number
Drivers License State
Drivers License Expiry
MM slash DD slash YYYY
Time at Residence:
Type of Residence*
Years at residence
Months at residence
Applicant Employment Information
Employer
Monthly Income
Occupation
Work Phone
Address
Street Address Address Line 2 City State ZIP
Time on Job:
Years employed
Months Employed
Vehicle Information
Stock Number
Year
Make
Model
Trim
VIN
Mileage
Sales Price
Additional Comments
*
- Acknowledgement and Consent:
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.
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