Before completing this form please read the directions carefully. (Check appropriate boxes)

Individual Partnership Corporation


I am applying with a Co-Applicant.
(Please complete Sections A and B.)

I am applying with a Co-Signer.
(Please complete Sections A and B.)

I am married and relying on community property to repay you. I understand that if I reside in Idaho, or another community property state, my wages and my spouse's wages are considered community property, so I must complete Sections A and B.


I understand that alimony, child support, or separate maintenance income need not be included unless I with to have it considered as a bases for repaying this obligation. However, I will rely on alimony, child support, or separate maintenance payments or the income or assets of another person to repay you, so I must complete Sections A and B, about that person.


A - YOUR PERSONAL CREDIT HISTORY - 5 YEAR MINIMUM

Sr. Jr.





Present Address






Lived There



Rent By Mo. Lease Own




Unmarried Separated Married




Previous Home Address If Less Than 5 Years





Lived There


Employed By

Self Other

Business address

How Long



Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Week Month Year


Name and Address of Parents or Nearest Relative Not Living With Me


Name and Address of Personal Friend


Bank Account

No Account Checking Savings


Vehicle will be titled in the name of:

Applicant Other


Trading In This Car?

Yes No


CREDIT REFERENCES OR INSTALLMENT OBLIGATIONS
Include Finance Companies, Banks, Credit Cards, Charge Accounts, Name(s) of Applicant in Which Credit Can Be Verified, if Other Than Shown above.




Has Any of Your Property Ever Been Repossessed?

No Yes (If Yes, When and By Whom?)



Are There Unsatisfied Judgments (Suits Pending) Against You?

Yes No


Have You Been Personally Involved in a Bankruptcy Proceeding (In the Last 10 Years)?

Yes No


Are You an Endorsor or Guarantor on any Other Loan or Contract?

Yes No


Military Status

Active Duty Reserve Inactive


B - THE OTHER PARTY'S CREDIT HISTORY - 5 YEAR MINIMUM

Sr. Jr.


Present Address

Lived There


Rent By Mo. Lease Own


Previous Home Address If Less Than 5 Years

Lived There


Employed By

Self Other

How Long



Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.


Bank Account

No Account Checking Savings



CREDIT REFERENCES OR INSTALLMENT OBLIGATIONS
Include Finance Companies, Banks, Credit Cards, Charge Accounts, Name(s) of Applicant in Which Credit Can Be Verified, if Other Than Shown above.





AUTOMOBILE INSURANCE is required for the full term of the Contract, at your expense, against the hazards of fire, theft and accidental physical damage (including collision). This insurance must protect the interest of you and the lender. The policies issued by the insurance company will describe the terms and conditions. YOU MAY CHOOSE THE PERSON THROUGH WHOM ANY INSURANCE IS OBTAINED.


If you wish to apply for Vehicle Insurance in connection with this Credit Application, complete an Insurance Application form.

(Check Here)


Do you desire convenient, Automatic Deductions from your Checking Account for making Payments?

Yes No

If your answer is Yes, please complete the Authorization Agreement provided.

We may request and use subsequest consumer reports other than investigative reports, in connection with an update, renewal or extention of the credit for which this application is made. As used in this paragraph, "you" and "your" shall refer to applicant signing below, and "we" and "us" shall refer to the dealer and to ANY financial institution to whom dealer submits this application for credit.


FAIR CREDIT REPORTING ACT DISCLUSURE: This application for credit may be submitted by the Dealer to various financial institutions. Before this application is submitted, the Dealer will disclose to me, the name and address of the institution(s) who will receive copies of this application.

For the purposes of securing credit from you, I/We certify that the above information is true and complete to the best of My/Our knowledge. Applicant(s) further certify the I/We have attained the age of Majority. Applicant(s) authorize you to check My/Our credit and employment history and to provide and/or obtain information about credit experience with Me/Us.