Credit Application

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* Required Field

Application Type *

Personal Information

Applicant:

First Name *

Middle Name/Initial

Last Name *

Email Address *

Home Phone *

Cell Phone *

Social Security #*

Date of Birth *

Driver's License # *

Driver's License Exp. Date *

Driver's License Issued In

Co-Applicant

First Name *

Middle Name/Initial

Last Name *

Email Address *

Home Phone *

Cell Phone *

Social Security # *

Date of Birth *

Driver's License # *

Driver's License Exp. Date *

Driver's License Issued In

Employment Information

Applicant:

Employment Status *

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Previous Employer

Title / Occupation

Time at Employer - Years

Time at Employer - Months

Co-Applicant

Employment Status

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Previous Employer

Title / Occupation

Time at Employer - Years

Time at Employer - Months

Residential Information

Applicant:

Current Address *

Current Address Line 2

City *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Previous Address

Previous Address Line 2

City

State

Zip Code

Status

Mortgage Payment / Rent

Time at Residence - Years

Time at Residence - Months

Co-Applicant

Current Address *

Current Address Line 2

City *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Previous Address

Previous Address Line 2

City

State

Zip Code

Status

Mortgage Payment / Rent

Time at Residence - Years

Time at Residence - Months

Desired Vehicle

Filter Desired Vehicle

Year:

Make:

Model:

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Desired Vehicle *

Trade-In Vehicle

VIN

Year

Make

Model

Exterior Color

Mileage

Condition

Asking Price

Remaining Balance

Describe Vehicle Condition and History

Let us know if we need to know more

Comments, References or Additional Information

I certify that the information provided by me is correct.
I certify that I am eighteen years of age or older.

I also understand that you will be checking with credit reporting agencies.
I authorize an investigation of my credit and employment history and the release of information about my credit experience.

Quick Contact

Dealership Info

Contact Us

Main Phone:

971-227-8746

Alt. Phone:

503-882-7070

Business Hours

Mon:	9:00 to 7:00
Tue:	9:00 to 7:00
Wed:	9:00 to 7:00
Thu:	9:00 to 7:00
Fri:	9:00 to 7:00
Sat:
Sun:

Location

17835 SW Pacific Hwy
Tualatin, OR 97062