Credit Application provided by Vantage Finance

Email Address:

Primary Applicant

* First Name:
Middle Initial:
* Last Name:
*Date of Birth	Applicants must be at least 18 years of age
*Social Security Number
* Contact Phone
E-mail

	Residence
* Address
* City
* State
* Zip Code
* Time at residence:	Years Months
* Monthly Pmt/Rent: $	If you do not pay rent or a mortgage, enter a zero.

	Driver License
* License Number
* License State
* License Expiration

	Employment History
	Employed NOT Employed
*Employer's Name
*Employer's Phone Number	Ex: 111-222-3333. If unemployed, use your contact number.
*Occupation
*Time on Job	Years Months
*Monthly Income	$ Gross Pay, Before Taxes (numbers only)

Use Joint Application

* First Name:
Middle Initial:
* Last Name:
* Date of Birth	Applicants must be at least 18 years of age
* Social Security Number
* Contact Phone
E-mail

	Residence
* Address
* City
* State
* Zip Code
* Time at Residence	Years Months
* Do You	Own Rent Other
* Rent/Mortgage	$ If you do not pay rent or a mortgage, enter a zero.

	Driver License
* License Number
* License State
* License Expiration

	Employment History
	Employed NOT Employed
* Employer's Name
* Employer's Phone Number
* Occupation
* Time on Job	Years Months
* Monthly Income	$ Gross Pay, Before Taxes (numbers only)

Vehicle of Interest

Model Year:
Make:
Model:
Price:	$ Numbers only, please. If you're not sure, leave this field blank.
Mileage:	Numbers only, please. If you're not sure, leave this field blank.
VIN:	If you're not sure, leave this field blank.

Trade In

Model Year:
Make:
Model:
Mileage:	Numbers only, please. If you're not sure, leave this field blank.
VIN:	If you're not sure, leave this field blank.

Important Info: Please Read!

I authorize Dealer ("you" and "your") and any finance company, bank, or other financial institution to which the Dealer submits my application to investigate my credit and employment history, obtain credit reports, and release information about your credit experience with me as the law permits.

If an account is created, I authorize you to obtain credit reports for the purpose of reviewing or taking collection action on the account, or for other legitimate purposes associated with the account.

* I certify that I have read and agree to the terms of this application and that the information in it is complete and true.