214-882-3429
7021 John W. Carpenter Fwy Dallas, TX 75247
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Applicant
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
*Date of Birth
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*Social Security Number
-
-
Housing Information
*Address
*City, State, Zip
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Rhode Island
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Texas
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Washington
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*Residence Move-in Date
January
February
March
April
May
June
July
August
September
October
November
December
2024
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1931
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1926
1925
1924
*Residence Status
Rent
Own
Military Housing
Live with Parents
Other
*Housing Payment
$
per month
Previous Housing (if current less than 3 years)
Previous Address
Previous City, State, Zip
How long did you live here?
Employment Information
*Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
*Title
Position
*Employer
Employer Address
Employer City, State, Zip
Supervisor
*Supervisor Phone Number
*Employment Start Date
January
February
March
April
May
June
July
August
September
October
November
December
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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1996
1995
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1993
1992
1991
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1986
1985
1984
1983
1982
1981
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1978
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1974
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1972
1971
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1963
1962
1961
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1953
1952
1951
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1949
1948
1947
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1944
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1940
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
*Gross Salary Before Taxes
$
per
Year
Month
Week
Previous Employment (if current less than 3 years)
Previous Employer
Previous Employer Phone
How long did you work there?
Describe Your Trade-In
Trade-In -
Year
Trade-In -
Make
Trade-In -
Model and Trim
Trade-In -
Mileage
Trade-In -
Engine
Trade-In -
Transmission
Automatic
Manual
Continuous Variable
Trade-In -
Other Details (i.e. leather, moonroof, navigation, 4x4)
Trade-In -
VIN
Trade-In -
Vehicle Condition
Excellent
Good
Fair
Poor
Trade-In -
Originally Purchased
NEW
USED
Trade-In -
Amount Requested
Trade-In -
Amount Owed
Assets & Other Income (provide amount and source)
Down Payment
$
Other Income
Other
Comments / Questions
Do you have a Co-Signer?
Yes
No
Co-Signer Information
Co-Signer
First & Last Name
Co-Signer
Email Address
Co-Signer
Phone Number
Co-Signer
Birthdate
Co-Signer
SSN
Co-Signer Housing Information
Co-Signer
Address
Co-Signer
City, State Zip
Co-Signer
Residence Movein
Co-Signer
Residence Status
Rent
Own
Live with Parents
Other
Co-Signer
Residence Housing Payment
Co-Signer Previous Housing (if current less than 3 years)
Co-Signer
Previous Address
Co-Signer
Previous City, State, Zip
Co-Signer
How long did you live here?
Co-Signer Employment Information
Co-Signer
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Co-Signer
Job Title
Co-Signer
Position
Co-Signer
Employer
Co-Signer
Employer Address
Co-Signer
Employer City, State, Zip
Co-Signer
Supervisor
Co-Signer
Supervisor Phone Number
Co-Signer
Employment Start Date
Co-Signer
Gross Salary Before Taxes
Co-Signer Previous Employment (if current less than 3 years)
Co-Signer
Previous Employer
Co-Signer
Previous Employer Phone
Co-Signer
How long did you work here?
Co-Signer Assets or Other Income
Co-Signer
Down Payment
Co-Signer
Other Income
Co-Signer Comments
Co-Signer Comments
Terms : I certify that the above information on this application for credit and any attachments I may send regarding this application are accurate and complete. I authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have that may be required for the purpose of a credit transaction and agree same information shall remain your property whether or not credit is extended. I authorize you to obtain information from others concerning my credit standing and other relevant information impacting on this application and to provide others with information about your experience with me. I understand that I must update this credit information at your request and if this credit information changes.
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