Finance Credit Application

Colorado Auto Sales LLC > Finance Credit Application

Financing Credit Application Form

Applicant Information

First Name:*

Middle Name:

Last Name:*

Address 1:*

Address 2:

City:*

State:*

Zip Code:*

Date of Birth:*

Driver License Number:*

Driver License State:*

Driver License Expiry:*

Mobile Phone:*

Home Phone:

Email:*

Time at Residence

Years:*

Months:*

Residence Type:*

Rent/Mortgage:*

Applicant Previous Residence

Note: Complete if you've been at your current Residence for less than 2 years.

Address 1:

Address 2:

City:

State:

Zip Code:

Phone Number:

Time at Residence

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Employment Information

Employer:*

Monthly income:*

Occupation:*

Income Type:*

Address 1:

Address 2:

City:*

State:*

Zip Code:*

Work Phone:*

Time at Job

Years:*

Months:*

Do You Have a Previous Employer?

Do You Have a Co-buyer?

Co-Buyer Information

First Name:*

Middle Name:

Last Name:*

Address 1:*

Address 2:

City:*

State:*

Zip Code:*

Date of Birth:*

Driver License Number:*

Driver License State:*

Driver License Expiry:*

Mobile Phone:*

Home Phone:

Email:*

Time at Residence

Years:*

Months:*

Residence Type:*

Rent/Mortgage:*

Co-Buyer Previous Residence

Note: Complete if you've been at your current Residence for less than 2 years.

Address 1:

Address 2:

City:

State:

Zip Code:

Phone Number:

Time at Residence

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Employment Information

Employer:*

Monthly income:*

Occupation:*

Address 1:

Address 2:

City:*

State:*

Zip Code:*

Phone Number:*

Time at Job

Years:*

Months:*

Co-Buyer Previous Employer

Note: Complete if you've been at your current employer for less than 2 years.

Employer:

Monthly income:

Occupation

Address 1:

Address 2:

City:

State:

Zip Code:

Phone Number:

Time at Job

Years:

Months:

Vehicle Information

Vehicle To Finance:*

Additional Information

Would You Like to purchase a Warranty?*

YesNo

How Much Down Payment?:*

Do you have any current open Auto Loans?*

YesNo

Additional Comments

Acknowledgment and Consent Terms and Conditions:

(I/We have read and understand the below terms and conditions and accept the terms and conditions.)

By completing this secure, online Credit Application and clicking "The Check Box" and pressing "Submit Credit Application" you authorize us to begin a credit investigation, including obtaining your consumer credit report, employment history, creditors' experiences with you as a consumer and to forward or allow direct electronic access, your application to lenders, financial institutions, or other third parties in order to process your application. We the Dealer, may obtain information about you as described in this notice, which we handle as stated in this privacy policy notice. This does not apply to information obtained in a non-financial transaction.

1. We collect nonpublic personal information about you from the following sources:

-Information we receive from you on applications or other forms in connection with a financial transaction;

-Information about your transactions with us, our affiliates, or others; and

-Information we receive from a consumer reporting agency.

2. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and aftermarket service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others.

3. We may disclose nonpublic, personal information about you as a consumer, customer or former customer, to non affiliated third parties as permitted by law.

4. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

MINIMUM PHYSICAL DAMAGE INSURANCE IS REQUIRED FOR THE FULL TERM OF THE INSTALLMENT CONTRACT to protect all interests thereunder against collision, fire, theft and the additional hazards covered by Combined Additional Coverage. YOU MAY CHOOSE THE PERSON THROUGH WHICH ANY OF THIS INSURANCE IS OBTAINED.

FAIR CREDIT REPORTING ACT DISCLOSURE I/We understand that this application for credit will be submitted by the Dealer to various financial institutions for evaluation.

Be sure to check your Credit Application for completeness and accuracy before submitting. Once submitted, you will not be able to return to make changes.