CREDIT APPLICATION
Last Name First Name Initial
Current Street Address City Apt# State Zip
How Long at Address Monthly Payment Own Rent
Previous Street Address City Apt# State Zip
Social Security D.O.B. Phone Cell Email
Current Employer Self Employed How Long Position Address City Zip Business Phone
Income: Wage (Amount per Hour Hours per Week ) Salary and or Commission
Frequency: Pay Weekly Pay Bi-Weekly Pay Monthly
Other Income:
Second Job Child Support Other (Explain Below in Tex Box)
Previous Employer Self Employed How Long Position Address City Zip Business Phone
Name of Bank :
Checking Account Savings Account Other
Are you interested in a specific car, or do you have any Comments or Questions:
By clicking the SUBMIT button below, I acknowledge that it will be submitted to Legacy Auto Sales, Inc. and/or affiliates for review in connection with a Sales Contract written, or to be written, in connection with my purchase.
I certify that the above information is complete and accurate. In connection with this application, I authorize and give Legacy Auto Sales, Inc. and/or affiliates my consent to obtain my credit report from my Credit Reporting Agency/s and complete an investigation of my credit and employment history.
I, also, authorize and give consent to Legacy Auto Sales, Inc. and/or assigns to use the above addresses or phone numbers on this application to communicate with me for any purpose with regard to my account activity, status, or collections.
Yes, I Agree No, I Do Not Agree
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