Are you applying on your own, or with another applicant? Are you applying on your own, or with another applicant? Single applicant Co-applicants

First Name

Last Name

Email

Phone Number

Co-Applicant First Name

Co-Applicant Last Name

Relationship between applicants:

Is it ok if we contact you by text, call or email to discuss this? Is it ok if we contact you by text, call or email to discuss this? Yes No

Current Address:

Do you currently own, rent, etc? Do you currently own, rent, etc? Own Rent Live with family/friends Other (detail below)

Monthly mortgage/rent:

Other: Details

Landlord's Name & Phone Number

How long have you lived at this location?

How long in Savannah area?

Current place of employment?

What is your pay schedule? What is your pay schedule? Weekly Every 2 weeks 1st & 15th Monthly

Supervisor name & number:

Pay amount AFTER taxes:

Length of time at this job:

Have you ever declared bankruptcy or had a vehicle repossessed? Have you ever declared bankruptcy or had a vehicle repossessed? Yes No

Details on bankruptcy or repossession:

Amount you could pay for your vehicle PER PAY PERIOD? (Most of our loans are set up with payments that match your pay schedule)

Amount of your down payment?

What is your current vehicle situation? (No car currently? Got a beater to trade-in? Vehicle repo-ed?)

Personal Reference #1: name & phone number & relationship to applicant

Personal Reference #2: name & phone number & relationship to applicant

Prior to submitting this application, do you confirm that all the information entered is true and accurate to the best of your knowledge, and consent that we may call your references prior to approving you for financing? Prior to submitting this application, do you confirm that all the information entered is true and accurate to the best of your knowledge, and consent that we may call your references prior to approving you for financing? Yes No