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First Name

Last Name

Phone/Mobile

Will there be a co-buyer?

What would you like our help with?

Are there any other companies you’re considering at the moment?

Which other companies are you considering?

What do you feel makes these companies an attractive option to help you with what you need?

What is the problem you are dealing with?

How long have you been dealing with this problem?

If you had to pick one thing, what’s the worst part about having this issue that stresses you out the most?

Is this the first time you’ve had to deal with it?

What do you feel would help you put a stop to it for good?

If you had to put a number on it, how much money has it been costing you?

Can you describe how this problem is affecting you mentally, emotionally, or even your relationships with close ones?

If you did not fix it in 6 months, what things would get worse in your life?

How quickly would you want us to help you solve this?

What is the best time you’d like for us to call you?

(Optional) Is there anything else you feel we should know that could help us serve you best?

Date of Birth

Social Security / ITIN

What type of photo ID do you have?

Driver’s License / ID Number

Current Address

Street Number

Street Name

City

State

Zip Code

Home Status:

Your Portion of the Monthly Rent/Mortgage Amount

Move in Date

How long have you had this living arrangement?

Previous Address

Street Number

Street Name

City

State

Zip Code

Move in Date

How many times have you moved in the past 3 years?

How long have you lived in the Fresno area +20 miles?

Employer Name

Employer Phone

What type of income do you have?

Hire Date

What employment field are you in?

What is your most recent NET year-to-date (take-home pay – after taxes and deductions are taken) for this employment?

How long have you had this income arrangement?

How many times a month do you get paid?

How many months have you worked at your current job this year?

Do you have additional income?

What type of additional income is it?

Additional Income/Employer Name

What is your most recent NET year-to-date for this additional income?

Previous Employer Name

Previous employment field.

Hire Date

How many times have you switched jobs in the past 3 years?

Do you have an active bank account?

How long have you had your bank account?

How much do you pay for other car payments? (If any)

You’ll need full-cover insurance. How much do you expect it’ll cost you to get it?

Have you paid off any vehicles in the past?

Have you had any repossessions in the past?

What was/were the reasons behind the repossessions?

If you see nothing below here, then press ‘Last Step’!

Co-Buyer First Name

Co-Buyer Last Name

Co-Buyer Email

Co-Buyer Phone

Relationship to Co-Buyer

Please explain ‘Other’ relationship with Co-Buyer

How will your Co-Buyer help you?

Co-Buyer Date of Birth

Co-Buyer Social Security / ITIN

What type of photo ID does your Co-Buyer have?

Co-Buyer License / Photo ID Number

Does your Co-Buyer live with you?

Co-Buyer Current Address

Address Line 1

Address Line 2

City

State

Zip Code

Co-Buyer Employer Name

Co-Buyer Hire Date

Co-Buyer Monthly NET Income (after taxes and deductions)

If we could help you learn to build your credit and manage your money well, what would you like to strive toward?

Are you truly ready to take the necessary steps to help yourself?

What is the total down payment you have available?

How do you have your down payment?

Please provide your trade in information (Year – Make – Model – Miles – Condition Description)

(Optional) Is there anything else you’d like to share with us?

By clicking “Submit”, I, the undersigned, (a) for the purpose of securing credit, certify the below representations to be correct; (b) authorize financial institutions, as they consider necessary and appropriate, to obtain consumer credit reports on me periodically and to gather employment history, and (c) understand that we, or any financial institution to whom this application is submitted, will retain this application whether or not it is approved, and that it is the applicant’s responsibility to notify the creditor of any change of name, address, or employment. We and any financial institution to whom this application is submitted, may share certain non-public personal information about you with your authorization or as provided by law. I consent to be contacted by the dealer at any telephone number or Email I provide, including, without limitation, communications sent via text message to my cell phone or communications sent using an autodialer or prerecorded message. This acknowledgment constitutes my written consent to receive such communications. I have read and agree to the Privacy Policy of this dealer.

If you wish to stop or remove your contact details registered with us, you can email your request here.

* We do not guarantee that everyone will be approved nor does everyone qualify for $500 down payments. The Finance Rates that we offer can range from 0% to 30%. The terms we offer can also range from 3 months to 54 months. Rates and term are not determined by credit scores, however, too much derogatory credit history may influence the type of approval. It is primarily determined by income, residential history, stability, and the year, mileage, and type of vehicle in question. We do not finance anyone outside of the Fresno area +20 miles, anyone unable to provide valid photo identification, anyone without a social security or ITIN, anyone unable to provide proof of income, anyone the law prohibits extending credit to, nor anyone undergoing an active bankruptcy. **Upon confirmation of registration, the customer will receive a $200 coupon that will immediately be applied toward the down payment of their initial approval. This coupon cannot be combined with any other promotions. The minimum down payment is $500 and cannot be reduced below that number. Please see Dealer for complete details.

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