APPLICATION

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Customer Loan Application

Lawson Auto Sales, Inc. Customer Loan Application

Buyer's Information
Name*
First Last
Birth Date*
Date Format: MM slash DD slash YYYY
Email*
Social Security Number*
Driver's License Number*
Home Phone Number*
Cell Phone Number
Current Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date you moved into your current residence?*
Date Format: MM slash DD slash YYYY
Do you Own or Rent? (Pick one)*
What type of residence? (Pick one)*
How often do you pay your mortgage or rent?*
How much is your weekly rent?*
How much is your biweekly rent?*
How much is your monthly rent?*
You chose "Other," please explain, and enter a payment amount, if any?*
When is your next rent or mortgage payment due?*
Date Format: MM slash DD slash YYYY
Landlord's Name*
First Last
Landlord's Phone Number*
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Information
Current Employer*
Work Phone Number*
Employer's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor's Name*
First Last
Supervisor's Phone Numbler*
Start date with current employer?*
Date Format: MM slash DD slash YYYY
Normal shift hours: From _____ to _____?*
Hourly rate?
How often do you get paid at your Job? (pick one)*
Average amount that you bring home weekly (after taxes)?
Average amount that you bring home bi-weekly (after taxes)?
Average amount that you bring home semi-monthly (after taxes)?
Average amount that you bring home monthly (after taxes)?
What day of the week do you get paid?*
Date of your next pay check?*
Date Format: MM slash DD slash YYYY
What is your position or job title?*
What department do you work in?*
What was your previous place of employment?*
What was your position or job title at your previous place of employment?*
How long did you work at your previous place of employment?*
How long between previous job and your current job?*
Average miles from home to work?
Average miles you drive each week?
Are there any deductions, other than taxes, coming out of you check? Yes or No*
If "Yes" how much each check?*
Are there others in your household helping with rent? Yes or No*
Who helps?*
First Last
How much?*
How much is your cable or satellite TV bill?*
What is your average monthly cell phone bill?*
What is the name of your phone provider?*
Are you currently making payments on any other cars?
Who are you making payments to for the car?*
References
To secure a loan through Lawson Auto Sales this sheet MUST BE FILLED OUT COMPLETELY. We need the name, address, phone number, etc filled out on each one.
Reference 1 Name*
First Last
Reference 1 Relationship*
Reference 1 Main Phone Number*
Reference 1 Secondary Phone Number
Reference 1 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 2 Name*
First Last
Reference 2 Relationship*
Reference 2 Main Phone Number*
Reference 2 Secondary Phone Number
Reference 2 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 3 Name*
First Last
Reference 3 Relationship*
Reference 3 Main Phone Number*
Reference 3 Secondary Phone Number
Reference 4 Name*
First Last
Reference 4 Relationship*
Reference 4 Main Phone Number*
Reference 4 Secondary Phone Number
Reference 5 Name*
First Last
Reference 5 Relationship*
Reference 5 Secondary Phone Number
Reference 5 Main Phone Number*
By signing below you agree that everything stated in this application is correct to the best of your knowledge. You agree to allow Lawson Auto Sales, Inc to obtain credit reporting in connection with this application for credit and for update, renewal, or extension of the credit received. If you request, Lawson Auto Sales, Inc will provide the names and address of any credit bureau from which it received a credit report. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on a loan application. I agree to allow Lawson Auto Sales, Inc and their representative to use any method necessary to contact me: such as cell phone calls, texting my cell phone, emailing, calling my home phone, family members, friends, work, and co-workers.
Buyer's Signature*
Today's Date*
Date Format: MM slash DD slash YYYY
Thanks for your time!
We appreciate you completing the loan application, and we look forward to working with you! If you have a moment, can you tell us what brought you to Lawson Auto Sales today?
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APPLICATION

Customer Loan Application

Buyer's Information

Work Information

References

Thanks for your time!