Financing Pre-Qualify

Alimony, child support, or separate maintenance income need not be disclosed unless relied upon for credit.

A credit application will need to be completed at the Crown Auto Sales office so that Crown Auto Sales can provide you with legally-required financing disclosures as you finalize your purchase. A contract disclosing all your purchase and financing terms will also have to be signed by you. Inquiries on your credit file will typically be made when an application at Crown Auto Sales is signed.

Financing Pre-Qualify : Personal Information

Financing Pre-Qualify : Personal Information

First Name *

Middle Name*

Last Name*

Social Security #*

Date of Birth*

(MM/DD/YEAR)

Government Issued Identification (Choose One)* Driver's LicenseState Identification

Government issued Identification Number*

(Must be current and not expired or suspended)

State Issued* AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Address Line 1*

Apt/Unit

City*

State* AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Zip*

Years at Current Residence*

(Years and Months)

Residential Status*RentOwnOther

Monthly Rent/Mortgage*

Home Phone

(###) ###-####

Cell Phone

(###) ###-####

Work Phone

(###) ###-####

Email Address

Gross Monthly Income Amount - Enter your gross monthly income (before taxes) received regularly and which can be documented from sources including Salary, Wages, Overtime, Bonuses and Commissions.*

Employer*

Employer Address*

(Include city, state and zip code)

Employer Phone Number*

(###) ###-####

Occupation/Job Title*

Time on Job*

(Years and Months)

Previous Employer

(Include if current employment is less than one year)

Previous Employer Phone Number

(###) ###-####

Previous Occupation/Job Title

Time on Job at Previous Employer

(Years and Months)

Other Income - Please only include your personal income, NOT income from any other persons in your household (Wisconsin applicants may enter spousal income). Enter other supplemental income that you wish to have considered as a basis for repayment, including Social Security, Retirement Income, Investment Income, and Rental Property Income. Your reported supplemental income is subject to verification by Crown Auto, LLC. Income requirements may vary based on credit history.

Other Income Term DailyWeeklyEvery Two weeksTwice a monthMonthlyYearly

Vehicle Interest

(Include Year/Make/Model)

Down Payment Amount*

Credit Information Authorization*

I AGREE

By clicking “I agree”, you are providing written instructions to Crown Auto Sales under the Fair Credit Reporting Act, authorizing Crown Auto Sales to obtain information from your personal credit profile from credit reporting agencies. You authorize Crown Auto Sales to obtain such information solely to evaluate your eligibility for an auto financing pre-qualification offer and acknowledge that this is not an application for credit.

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