FRESH START HOTLINE CREDIT APPLICATION

 

First Name

*Required

Last Name

*Required

Middle Initial

*Required

Social Security Number

*Required

Date of Birth

*Required

Home Address

*Required

City

*Required

State

*Required

Zip Code

*Required

Years at Current Residence

*Required

Own or Rent or Live with Family

*Required

Current Monthly Rent or Mortgage Payment

*Required

Years with Employer

*Required

Current Place of Employment

*Required

Name of Employer

*Required

Monthly Income Before Taxes

*Required

Bank

*Required

Bank Account Type

*Required

Trade In

YesNo  *Required

Year

*Required

Make

*Required

Model

*Required

Mileage

*Required

Condition

*Required

Home Telephone

*Required

Work Telephone

*Required

Email Address

*Required

Type of Vehicle Needed

*Required

Type of Transmission

*Required

 

 

In order to process your application, the lender requires a down-payment amount to be entered:

Maximum Down Payment

*Required

We accept trade-ins that are paid for or nearly paid for that are in an equitable position.

Qualified Trade-in

YesNo  *Required

If you have a co-buyer, someone who will be financing the car with your, please submit your
information first by completing this form and clicking on the “Submit" button below. Then clear
the form by clicking the "Reset" button below and fill out a new form for the co-buyer. .

Comments or Questions

  *Required

That's it! Just click on the Submit Button One Time to Send Your Application to our Processing Center.

Thank You!


By submitting this form you agree to allow Fresh Start Hotline or one of our affiliate dealers to access your credit report to determine your credit score.

 

  

 
Last Updated:
December 20, 2007
Designed By:
Allen Kelly & Daniel Evinger © All Rights Reserved, 2007