Smart Choice Auto Sales, Inc. Quality, Reliable, Integrity, 610-944-6222
 

CREDIT APPLICATION
CHECK BOX FOR JOINT ACCOUNT: If you are applying for a joint account or an account that you and another person will use, complete all sections, providing information in Joint Applicant, below, about the Joint Applicant or user. We intend to apply for Joint Credit.

Applicant Co Applicant
Amount Requested $
for
Months
Selling Price $
Down Payment: Cash Dealer Discount
$ -
Net Trade-In $ -
Sales Tax $ +
Warranty $ +
Total Financed $ =
Trade-in vechicle:
  Year Make Model Monthly Payment
$ $ - $ =
  Gross   Still Owing   Net Trade-In
Life
A&H
Gap
 

APPLICANT

CO-APPLICANT/CO-SIGNER
First, Middle Initial, Last Name of Applicant
Date of Birt (Month, Day, Year) Social Security Number
Home Address- No. and Street (Apt number) Home Telephone Number
City, State, Zip Code Years There
Country No. of Dependents
Previous Home Address Years There
e-mail Address Cell Phone Number
Drivers License# State Issued Expiration
Firm Name or Employer Business Telephone Number
Address City State Zip Code
Position Years There Salary
Week
Month
Year
Name and Address of Previous Employer
Position Years There
Other Income (Give Source) Note: Alimony, child support, or separate maintenance income need not wish considered as-a basis for repaying this obligation.
SOURCE AMOUNT
Week
Month
Year
 
Saving Account: Name of Bank and Address Balance
Name and Address of a close relative not living with you. Relationship
Type of Obligation Creditor/Landlord Balance Payment
OWN RENT OTHER
Customer of Bank Second Mortage/Creditor Balance Payment
Yes No
Auto Loan Creditor Balance Payment
TRADE
Other Creditor Balance Payment
 
First, Middle Initial, Last Name of Applicant
Date of Birt (Month, Day, Year) Social Security Number
Home Address- No. and Street (Apt number) Home Telephone Number
City, State, Zip Code Years There
Country No. of Dependents
Previous Home Address Years There
e-mail Address Cell Phone Number
Drivers License# State Issued Expiration
Firm Name or Employer Business Telephone Number
Address City State Zip Code
Position Years There Salary
Week
Month
Year
Name and Address of Previous Employer
Position Years There
Other Income (Give Source) Note: Alimony, child support, or separate maintenance income need not wish considered as-a basis for repaying this obligation.
SOURCE AMOUNT
Week
Month
Year
 
Saving Account: Name of Bank and Address Balance
Name and Address of a close relative not living with you. Relationship
Type of Obligation Creditor/Landlord Balance Payment
OWN RENT OTHER
Customer of Bank Second Mortage/Creditor Balance Payment
Yes No
Auto Loan Creditor Balance Payment
TRADE
Other Creditor Balance Payment
 

Every statement I/we have made in this application is true and correct and has been made by me with the understanding that you will rely on it. I agree that if anything arises which changes any of the statements I hae made, I will prompty tell you. You may request a credit report on me and if I ask, you will tell me the name and address of the consumer reporting agency that furnished it. If you update, renew or extend my loan, you may request a new credit report without telling me. NOTE: By signing this application, you will authorize both above dealer and Community Bank National Association/Community Bank Association DBA First Liberty Bank & Trust, to whom your Contract may be assigned, to check your credit.

Notice to Intent to Furnish Negative Credit Reporting Information: We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.
ARE YOU U.S. CITIZEN YES NO
ARE YOU U.S. CITIZEN YES NO
SIGNATURE OF APPLICANT Date
SIGNATURE OF CO-APPLICANT/CO-SIGNER Date

Smart Choice Auto Sales, Inc.

14040 Kutztown Rd. | Fleetwood, PA 19522
Phone: (610) 944-6222

244 Centre Ave | Leesport, PA 19533 Phone: (610) 916-2221

Smart Choice 222 Auto Sales, Inc. | 14040 Kutztown Rd. | Fleetwood, PA 19522 & 244 Centre Ave | Leesport, PA 19533
Phone: (610) 944-6222 | Fax: (610) 944-5050
Phone: (610) 916-2221 | Fax: (610) 926-9600

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Copyright © Smart Choice 222 Auto Sales, Inc. 2012. All rights reserved.