CREDIT APPLICATION FORM

CREDIT APPLICATION FOR VEHICLE PURCHASE OR LEASE

First name

Last name

Phone

DOB

SSN

Driver's License

Home Phone/Cell Phone

Address

How Long?

Previous Address (if less than 2 years at current address)

Current Employer

Employer's Address and Phone Number

Occupation/Job Title

Gross Monthly Salary

How Long?

Previous Employer (if less than 2 years on current job)

How Long?

Gross Monthly Other Income

Other Income Source

Mortgage or Rent Amount

Referece 1 Name and Phone Number

Relationship

Reference 2 Name and Phone Number

Relationship

I AUTHORIZE TRIPLE 8 AUTO AND ITS DEALERS AND FINANCING AFFILIATES TO VERIFY THE INFORMATION PROVIDED ON THIS FORM AS TO MY CREDIT AND EMPLOYMENT HISTORY

Signature

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Date Signed

Month

Day

Year

OR

Credit Application_Triple 8 Auto.pdf