Apply for Financing

premiomotors.com > Apply for Financing

    1. Applicant Personal Information

    First Name
    Last Name
    Phone
    Phone Type
    Email
    Date of Birth
    Marital Status
    Driver's License No
    Issue Date
    Expiry Date
    State
    License County

    2. Applicant Address

    Address Line 1
    Address Line 2
    City
    State
    Postal Code
    How long at this address?
    Months
    Residence Status
    Mortgage / Rent Amount (Monthly)

    3. Applicant Employer

    Employment Status
    Income
    Income Interval
    Employer Name
    Job Title
    Years at job
    Months
    Address Line 1
    Address Line 2
    City
    State
    Postal Code

    Other Income (if any)

    Source
    Gross Income
    Income Interval

    4. Co-Applicant Information

    Is there a Co-Applicant?
    Employment Status
    Income
    Income Interval
    Employer Name
    Job Title
    Years at job
    Months
    Address Line 1
    Address Line 2
    City
    State
    Postal Code

    Other Income (if any)

    Source
    Gross Income
    Income Frequency

    5. Trade In & Vehicle

    Trade In?
    VIN
    Year
    Make (Brand)
    Model
    Vehicle Price
    Mileage

    6. Desired Lending Terms

    Desired Amount
    Term-Length of Loan
    Desired Monthly Payment
    Down Payment

    Additional Message

    Message
    I agree that by submitting this application, I authorize and give this dealership, as well as any potential financing source this dealership presents this application to, my consent to obtain my credit report from any credit reporting agency used to complete an investigation of my credit.

    By submitting this application, I certify that all information herein is true and complete. I agree I am providing this information to the dealer identified in this application and acknowledge that my information may be shared pursuant to the dealer's privacy policy, if applicable. I hereby authorize this dealer, and any financial institution engaged as a service provider by this dealer, to retain this application and to check and verify my credit, employment and salary history. By submitting this application, I authorize this dealer and/or financial institutions, as they consider necessary and appropriate, to obtain consumer credit reports on me periodically and to gather employment history in order to determine financing eligibility.



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