VEHICLE LOAN APPLICATION
for
Roseville Auto Center
First Name

Middle Initial

Last Name
SS#
 Date of Birth

E-mail Address
Home Phone
 Work Phone
 Cell Phone
Current Street Address (include apt. number, etc.)
City

State

Zip
How long have you lived at this address?

Months

Years
Previous address if less then 3 years:
Do you (check one)

Own

Rent

Live with parent

Other
Landlord Name, Address, & Phone
If you checked "Other", please explain
Marital Status

Married

Separated

Unmarried

Number of Dependents
Name, address, & phone number of nearest relative not living with you 

EMPLOYMENT AND INCOME INFORMATION
Name of Employer
Street Address
Mailing Address (if different)
City, State, Zip Code

Your Title/Position
How long in this position? Years Months
How long with this company? Years Months
Monthly gross salary (or net monthly income if self-employed)
Previous Employer (if less than 2 yrs)
Street Address
Mailing Address (if different)
City, State, Zip Code

Your Title/Position
How long in this position? Years Months
How long with this company? Years Months
Monthly gross salary (or net monthly income if self-employed)
Monthly amount of other income Source?

Alimony, child support, or separate maintenance income must be listed if you wish to have it considered in this application evaluation.
Name & Address of Financial Institution
Checking Account Number(s)
Name & Address of Financial Institution (if different)
Savings Account Number(s)

DEBTS AND OBLIGATIONS
DEBT AMOUNT
Rent/mortgage (including taxes & insurance)
Credit Union Loan (optional)
Bank Loan (optional)
Visa (optional)
MasterCard (optional)
Department Stores (optional)
Travel/Oil Company (optional)
Other debts (optional)
TOTAL MONTHLY EXPENSES
Have you ever obtained credit under any other name(s)?

Yes

No
If "yes", list all other names

JOINT APPLICANT INFORMATION
First Name
 Middle Initial
 Last Name
SS#
 Date of Birth

E-mail Address
Home Phone
 Work Phone
 Cell Phone
Current Street Address (include apt. number, etc.)
City
 State
 Zip
How long have you lived at this address?    Months Years
Previous address if less then 3 years:
Do you (check one)

Own

Rent

Live with parent

Other
Landlord Name, Address, & Phone
If you checked "Other", please explain
Marital Status

Married

Separated

Unmarried

Number of Dependents
Name, address, & phone number of nearest relative not living with you

EMPLOYMENT AND INCOME INFORMATION
Name of Employer
Street Address
Mailing Address (if different)
City, State, Zip Code
Your Title/Position
How long in this position? Years Months
How long with this company? Years Months
Monthly gross salary (or net monthly income if self-employed)
Previous Employer (if less than 2 yrs)
Street Address
Mailing Address (if different)
City, State, Zip Code

Your Title/Position
How long in this position? Years Months
How long with this company? Years Months
Monthly gross salary (or net monthly income if self-employed)
Monthly amount of other income Source?

Alimony, child support, or separate maintenance income must be listed if you wish to have it considered in this application evaluation.
Name & Address of Financial Institution
Checking Account Number(s)
Name & Address of Financial Institution (if different)
Savings Account Number(s)

DEBTS AND OBLIGATIONS
DEBT AMOUNT
Rent/mortgage (including taxes & insurance)
Credit Union Loan (optional)
Bank Loan (optional)
Visa (optional)
MasterCard (optional)
Department Stores (optional)
Travel/Oil Company (optional)
Other debts (optional)
TOTAL MONTHLY EXPENSES
Have you ever obtained credit under any other name(s)?

Yes

No
If "yes", list all other names

By signing below or submitting this application by email/internet, you authorize us to gather any information we deem necessary and appropriate, and obtain credit and employment history.  Additional information may be needed to process this application.  all information provided on this application is true and current.  The lending institution may provide information to other creditors about our credit experience with you.

Loan decisions will normally be made within 24 hours.  You will be contacted as soon as a loan decision is made.  After a decision is made, information  on finalizing your loan will be mailed to you within 48 hours.  Indicate below how you would like to be notified of the loan decision.

Postal Mail

Phone

E-Mail

Other.  See Special Instructions.
Special Instructions