Tri-STarautosales.com

Consumer Loan Application
Amount Requested: Monthly Payment Requested: Term: mos. Purpose:
Vehicle Purchase Information:

Year:

Make/Model:

Vin#:

Options:

Type of loan:


Loan Payment Method:		 Fixed Rate
Variable Rate

Automatic from savings
Automatic from checking
Payment Booklet		 Credit insurance: Life Insurance
Disability
Life and Disability
Joint Life
No Insurance
GAP		  

Applicant
First Name: Middle Initial: Last Name: E-Mail:
Social Security #: - - Member#: Mother's Maiden Name:
Street: City: State: Zip: County:
Home Phone#: Date of Birth: No. of Dependents:
Length at Current Address: Yrs. Mos. Own $: Rent $: Live with Relatives $:
*If self-employed, send last year's tax form.
Employer Name: Years Employed:
Street: City: State: Zip:
Gross monthly Salary $: Position: Business Phone: Ext.
*If less than two years at current address or employer.
Previous Employer Name: Years Employed:
Street: City: State: Zip:
Other Monthly Income $: *Alimony, child support or separate maintenance income need not be disclosed if you do not wish to have it considered a basis for repaying this obligation. Proof of income and salary may be required.
Name of Nearest Living Relative (Not living with you): Relationship:
Street: City: State: Zip: Phone Number:
 

Co-Applicant
First Name: Middle Initial: Last Name: E-Mail:
Social Security #: - - Member#: Mother's Maiden Name:
Street: City: State: Zip: County:
Home Phone#: Date of Birth: No. of Dependents:
Length at Current Address: Yrs. Mos. Own $: Rent $: Live with Relatives $:
*If self-employed, send last year's tax form.
Employer Name: Years Employed:
Street: City: State: Zip:
Gross monthly Salary $: Position: Business Phone: Ext.
*If less than two years at current address or employer.
Previous Employer Name: Years Employed:
Street: City: State: Zip:
Other Monthly Income $: *Alimony, child support or separate maintenance income need not be disclosed if you do not wish to have it considered a basis for repaying this obligation. Proof of income and salary may be required.
Name of Nearest Living Relative (Not living with you): Relationship:
Street: City: State: Zip: Phone Number:
 

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