Welcome to Team One Auto Group

AUTOMOTIVE CREDIT APPLICATION

Applicant's Information


Last	First	Middle


Date of Birth	Social Security Number

Home Phone	Cell Phone
Email Address

Current Address


(Street)	(Apt)

(City)	(State)	(Zip)

			How long at this address
Rent	Own	Live with Parents(s)	How long at this address		Years	Months


Monthly Rent / Mortgage		Landlord or Mortgage Holder

Former Addresses (Year to Year)


Street		City		State		Zip		Year-In	Year-Out


Street		City		State		Zip		Year-In	Year-Out


Current Employer		Work Phone


Job Description		Supervisor

Do you have direct deposit?

Yes

Do you have a bank account?

Checking

Savings

Both

Gross Monthly Income

Pay before taxes

Employment History

Prior Employment (Last Four Years)


From		To		Employer


From		To		Employer

Have Civil Judgements ever been filed against you?	Yes No	When?
Have you ever filed for Bankruptcy?	Yes No	When?
Have you ever had a vehicle repossessed?	Yes No	When?
Do you have other car loans outstanding?	Yes No	To Whom?

Do you have a home phone billed to the address listed above	Yes No
Do you have a Cellular Phone billed to the address listed above	Yes No
Do you have a savings or checking account at the address listed above	Yes No
Do you have a utility bill in your name at the address listed above	Yes No

Five References


Name	Address (City, State, Zip)

Relationship	Phone

Name	Address (City, State, Zip)

Relationship	Phone

Name	Address (City, State, Zip)

Relationship	Phone

Name	Address (City, State, Zip)

Relationship	Phone

Name	Address (City, State, Zip)

Relationship	Address (City, State, Zip)


Payment Requested?
Down Payment
Vehicle Interested In? (Year/Make/Model)

Comments and Questions

Best Time and Phone Number for Us to Contact You

IN COMPLIANCE WITH THE FAIR CREDIT REPORTING ACT – AUTHORIZATION

The above information is supplied by me and is correct. I hereby authorize Team One Auto Group and their affiliated lending institutions to obtain information on my credit history. I understand that I have, within a reasonable amount of time, the right to make a written request to receive information about the information contained in my credit report.

NOTE: We cannot proceed unless all of the pertinent information is complete and Authorization is given.

Please check here if you agree to the previous statement and give Authorization for us to proceed.