PRE APPROVAL CREDIT APPLICATION !

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Date of Birth
SSI Number

          Who is your employer

        Do you have a valid Drivers License?

------ Yes No

          Time At Current Employer

          Amount of Income

          Other Income

Amount of Down Payment?

 

 

Do you have a  trade In?

 

------ Yes No

          Check any that apply

           Have you filed for or under any

Bankruptcy
Repossession
Judgments
Legal Actions     

 

How did you hear about us?

 

      

 

Do you authorize Diamond Auto Sales to do a Credit Check?

 

                     ------ NO YES            

 

Mothers Maiden Name?

 

                                                              

 

I / We Certify that all information is true. I / We authorize any employer, school, credit agency or landlords to give all information requested about Me / Us to the above listed company.

*Alimony, child support or separate maintenance need not be disclosed unless you desire such income to be considered.

By submitting this application, you certify that all information is complete and correct and both of you agree to be jointly and separately liable to repay this loan as required. By submitting this application you authorize Diamond Automotive Sales and any financial institution receiving your application to obtain a copy of your credit report.