Select Language

CANDUTENGESP
PTG
Preferred Motors, LLC Credit Application

Fields marked are required!

General Information

First Name:
Last Name:
Birth Date:
Social Security Number:
Home Phone:
Cell Phone:

Employment Information

Name of Employer:
Employer Address:
Employer Phone:
Occupation:
Employment Status:
Duration (X years, X months):
Gross Monthly Income:
Additional Monthly Income:
Reporting Gross Income:

Co-Applicant Information

First Name:
Last Name:
Birth Date:
Social Security Number:
Home Phone:
Cell Phone:

Co-Applicant Employment Information

Name of Employer:
Employer Address:
Employer Phone:
Occupation:
Employment Status:
Duration (X years, X months):
Gross Monthly Income:
Additional Monthly Income:
Reporting Gross Income:

Housing Information

Current Address:
City, State - Postal Code:
Duration (X years, X months):
Previous Address:
City, State - Postal Code:
Duration (X years, X months):
Residency Status:
Monthly Rent/Mortgage Cost:
 

Financing Resources

Downpayment:
Maximum Monthly Payments:
Trading Vehicle In:
Trade-In Year - Make - Model:
Trade-In Odometer Reading:
Amount Owed on Trade-In:

Contact References

First Name:
Last Name:
Phone Number:
First Name:
Last Name:
Phone Number:
First Name:
Last Name:
Phone Number:
First Name:
Last Name:
Phone Number:
First Name:
Last Name:
Phone Number:

Submit Application

Fields marked are required!

By supplying this information, you give us permission to request credit information from the major credit bureaus, to pre-qualify you for your purchase. By submitting the information supplied, you attest that to the best of your knowledge all information is 100% accurate and you have read our privacy policy.