Personal Information:

First/MI/Last Name:

Birthdate: (MM-DD-YYYY):

Social Security Number:

Home Information:

Street Address:

City/State/Zip:

Home Phone: Phone is in your name? Check if Yes.
Phone is located at above address? Check if Yes.

Mobile Phone:

Best time to be contacted by phone:

E-mail address:

Home Ownership Status: I own my home. I rent my home. I live with family. Other

Monthly Rent/Mortgage Payment:

Length of time at current address: years months

Employment Information:

Employer:

Occupation:

Are you? Self-employed or Employed by others

Work Phone Number:

Pay Type: Hourly Salary

Gross Monthly Income Before Taxes:

Length of time in current employment: years months

General Information:

Do you have a valid driver's license? yes no

Have you ever filed for bankruptcy? yes no

Have you ever had a repossession or foreclosure? yes no

Do we have permission to pull your credit report? yes no

Are you currently financing a vehicle? yes no

Other Information:

Do you receive any additional monthly income? yes no

If yes: Amount: Source:

Are you trading a vehicle? yes no

How much cash will you be applying to the downpayment?

How did you hear about AutoFinanceToledo? Please select one: Newspaper TV Radio Friend Flyer Other

IMPORTANT INFORMATION

By submitting this application, I hereby certify that all statements are true and complete and submitted for the purpose of obtaining credit. In considering this application, we may request and use a report from outside credit reporting agencies. By submitting this application, I hereby agree that any or all information that is on this credit application will be submitted to banks, credit unions, and any other financial institution that may assist me in financing an automobile.

Before you press Submit, please make sure you fill out the application completely.