Lonestar Auto Wholesalers

Personal Information
Full Name		Email:
D.O.B.:		Home Phone:
SS Number:		Mobile Phone:
DL Number:

Home Information
Home Address:		City, State, Zip:
Move-In Date:		Time at Residence:
Mortgage / Lease Payment:		Your Portion:
Mortgage / Landlord Name:		Mortgage / Landlord Phone:

Previous Home
Previous Address:		City, State, Zip:
Move-In Date:		Mortgage / Landlord Phone:

Occupation
Current Employer:		Position:
Address:		Phone Number:
Start Date:		Gross Monthly Salary:

Previous Occupation
Previous Employer:		Position:
Start Date:		Phone Number:

Finance Information
Other Income:		Total Income:
Available Down Payment:		Desired Monthly Payment:

Trade-In Information
Trade-in Year, Make, Model:		Balance Owed:
Miles:		Balance Owed To:
How much do you need for your trade in?

Other Comments:
Terms:	I certify that the above information on this application for credit and any attachments I may send regarding this application are accurate and complete. I authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have that may be required for the purpose of a credit transaction and agree same information shall remain your property whether or not credit is extended. I authorize you to obtain information from others concerning my credit standing and other relevant information impacting on this application and to provide others with information about your experience with me. I understand that I must update this credit information at your request and if this credit information changes.
	By checking here , I agree with the above statement.

Lonestar Auto Wholesalers

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