Russell Brothers Credit Application
Email address *
First, Middle and Last Name *
What is a good time/date for you to test drive the vehicle? Please make an appointment. We will reach out to approve. *
In which vehicle(s) do you have an interest? *
How did you find this vehicle? *
Required
Co-Applicant (if you have a co-applicant or if you are the co-applicant, please tell us below, the name of the person you are applying with. Then make sure that both parties fill out an entire application)
Home Address (Street, City, State, Zip) *
Phone # - Preference (Text, Call, or Email) *
Social Security Number: *
Date of Birth *
MM
/
DD
/
YYYY
Drivers License # *
Residence *
Required
Mortgage Lender or Landlord
Phone # of Mortgage Lender or Landlord
How much do you pay in Rent / Mortgage *
Residence Time (Length of continuous time at current full-time residence?) *
Number of Residence Changes Last 3 Years *
Time in Area (Within 50 mile radius) *
Required
Length of Time at Current Job *
Number of Primary Job Changes Last 2 Years (including your current job) *
Type of Employment of Income Source *
Employer: *
Employer Phone Number: *
Employer Address:
Name & Number of Immediate Supervisor: *
Verifiable Monthly Gross Income *
Required
Type of Good Car Credit *
Required
Number of times repoed in the last 5 years - Explain *
Are you trading in a vehicle (If so, please provide VIN# and mileage) *
What is the most you can put down, not including possible trade-in? *
What is your desired payment range? *
Reference (Name, Number and Relationship) *
Reference (Name, Number and Relationship) *
Reference (Name, Number and Relationship) *
I certify via check mark below, that the above information is complete and accurate to the best of by knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates. *
Required
I consent to receive text messages from Russell Brothers Auto Sales *
Required
Additional Comment - Tell Us About Yourself
A copy of your responses will be emailed to the address you provided.
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