ApplicantCo-Applicant (if applicable)If you are married and live in a community property state, please complete Section A about yourself and Section B about your spouse. You must sign this application. Your spouse must sign this application only if s/he wishes to be a Co-Applicant.Primary Applicant InformationFirst NameMiddle NameLast NameSocial Security Number (make sure to add dashes)Date of BirthAddressApt # / SuiteP.O. Box (if applicable)CityStateZipOtherHomeownerRentFamilyOtherYears at Current AddressMonths at Current AddressMonthly Rent/Mortgage Payment AmountHome Phone NumberCell Phone NumberE-Mail AddressDriver's License No.Driver's License StatePrevious Full Address (if less than 2 years)Apt # / Suite (if applicable)P.O. Box (if applicable)CityStateZipEmployer NameEmployer AddressEmployment TypeEmployedUnemployedSelf EmployedMilitaryRetiredStudentSalarySalary TypeWeeklyBi-WeeklyMonthlyAnnuallyOccupationMonths of OccupationWork Phone NumberPrevious Employer Name (If less then 2 years)Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.Other Income (Monthly)Source of Other IncomeIs there a co applicant?YesNoAGREEMENTYou understand and agree that you are applying for credit by providing the information to complete and submit this credit application. We may keep this application and any other application submitted to us and information about you whether or not the application is approved. You certify that the information on the application and in any other application submitted to us, is true and complete. You understand that false statements may subject you to criminal penalties. The words "you," "your" and "yours" mean each person submitting this application. The words "we," "us," "our" and "ours" as used below refer to us, the dealer, and to the financial institution(s) selected to receive your application. You authorize us to submit this application and any other application submitted in connection with the proposed transaction to the financial institutions disclosed to you by us the dealers. This application will be reviewed by such financial institutions on behalf of themselves and us the dealer. In addition, in accordance with the Fair Credit Reporting Act, you authorize that such financial institutions may submit your applications to other financial institutions for the purpose of fulfilling your request to apply for credit. You agree that we may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction. You also agree that we or any affiliate of ours may obtain one or more consumer credit reports on you at any time whatsoever. If you ask, you will be told whether a credit report was requested, and if so, the name and address of any credit bureau from which we or our affiliate obtained your credit report. You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information. You further authorize us to gather whatever credit and employment history we consider necessary and appropriate in evaluating this application and any other applications submitted in connection with the proposed transaction. You understand that we will rely on the information in this credit application in making our decision. We may monitor and record telephone calls regarding your account for quality assurance, compliance, training, or similar purposes.FEDERAL NOTICESIMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT If applicable to your credit transaction, to help the government fight the funding of terrorism and money laundering activities, Federal law requires financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, you will be asked for your name, address, date of birth, and other information to identify you. You may also be asked to see your driver's license or other identifying documents.SUBMIT