To drive a car home, here is what you will
need with you approval:
1)
A phone bill or other utility bill in your name.
*If you do not have a
UTILITY bill in your name you can go to
any ACE check cashing facility and order the least
expensive phone and make SURE you get a
printed bill with your name, address and
phone number on it.
2) Full coverage Insurance.
3) 6 References. (Family or friends)
:
NEW! EASY AS 1-2-3- FINANCING!!
1ST TIME BUYERS WELCOME
RECENT REPOS WELCOME!!
Last Name
First Name
Middle Initial
/
/
Date of Birth
--
Social
-
Driver's License No.
Mother's Maiden Name
Present
Address:
Number and Street
City
State
Zip Code
Yrs.
Mos.
Lived There
Home Phone Number
Cell Phone Number
Previous
Address:
Number and Street
City
State
Zip Code
Yrs.
Mos.
Lived There
Landlord or
Mortgage Holder Information:
Land Lord or Mortgage Holder Name
$
Rent/Mortgage Payment
/
/
Move-in Date
Type of Mortgage
Phone Number
Employment &
Income Information:
Current Employer Name
City
State
Applicant's Occupation
Yrs.
Mos.
Worked There
/
Hire Date
(month/year)
$
-
Gross Salary
Yes
No
Temporary Employee
Work Phone Number
$
Other Income
Source of Other Income
Previous Employment Information:
Previous Employer Name
City
State
Applicant's Occupation
Yrs.
Mos.
Worked There
Work Phone Number
Financial/Bank
Information:
Name of Bank
Bank Account Type
Are you current
on your Rent or Mortgage?
No
Yes
Have you ever
had a
Car or Other Merchandise Repossessed?
No
Yes - Date:
/
(month / year)
Have you ever
Filed Bankruptcy?
No
Yes - Date:
/
(month / year)
Auto Maxx
Reference Informatiom:
Name of the Auto Maxx Sales Representative:
How Did you
Hear about us:
Electronic
Signature:
Click
on the box below to sign this form electronically. By
submitting this form, you are authorizing Auto Maxx to access and review your credit history and verify your
employment.
