Application for Pre-Qualification

APPLY FOR CREDIT

Applicant Information

First Name:

Last Name:

Address 1:

City:

State:

Zip:

Social Security:

Date of Birth:

Drivers License Number:

Drivers License State:

Drivers License Exp:

Mobile Phone:

Email:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence

Complete if you've been at your current Residence for less than 2 years.

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence 2

Address 1:

Address 2:

City:

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Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence 3

Address 1:

Address 2:

City:

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Zip:

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Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence 4

Address 1:

Address 2:

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Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Employment Information

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

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Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer

Complete if you've been at your current Employment for less than 2 years.

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer 2

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer 3

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer 4

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Do you have a co-buyer?

Co-Buyer Information

First Name:

Middle Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Social Security:

Date of Birth:

Drivers License Number:

Drivers License State:

Drivers License Exp:

Mobile Phone:

Home Phone:

Email:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence

Complete if you've been at your current Residence for less than 2 years.

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence 2

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence 3

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence 4

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Employment Information

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer

Complete if you've been at your current Employment for less than 2 years.

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer 2

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer 3

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer 4

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Vehicle Information

Vehicle To Finance:

Stock Number:

Year:

Make:

Model:

Trim:

Vin:

Mileage:

Trade-In Information

Trade Year:

Trade Make:

Trade Model:

Trade Trim:

Trade Color:

Trade Mileage:

Trade Vin:

Trade Payoff:

Trade Payoff Good Through:

Lien Holder Address 1:

Lien Holder Address 2:

City:

State:

Zip:

Additional Comments

ACKNOWLEDGMENT AND CONSENT:

You understand that by signing below you are providing “written instructions” to Auto Star Inc. under the Fair Credit Reporting Act, authorizing Auto Star Inc. to obtain information from your personal credit profile or other information from Equifax and/or TransUnion. You authorize Auto Star Inc. to obtain such information solely to conduct a pre-qualification for credit.

ACKNOWLEDGMENT AND CONSENT:

By checking this box I hereby consent to receive text messages and/or phone calls from or on behalf of Auto Star Inc or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP" or "HELP" for help. See our https://autostarus.com/privacy for more information.

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Tuesday:	8:00 am - 6:00 pm
Wednesday:	8:00 am - 6:00 pm
Thursday:	8:00 am - 6:00 pm
Friday:	8:00 am - 6:00 pm
Saturday:	Closed
Sunday:	Closed