Local Lending Group

Auto Loan

Your Personal Information

First Name

Last Name

Social Security #

- -

Email Address

Street Address
No Post Office Boxes

City, State, Zip

Time at this address

years months

Is this your mailing address?

Are you a US citizen?

Mother's Maiden Name

Number of Dependents?

Home Phone

- -

Work Phone

- -

Employer Name

Job Title/Position

Date Hired

Monthly Salary Before Tax

Date of Birth

/ /

How is your credit

Are you currently in a credit counseling program?

What banks do you have accounts/loans with?

CitiFinancial Bank of America Suntrust Chase Bank One

I authorize you and your lenders to pull my credit report. I acknowledge that my loan information will be submitted to at least one third party lending institution for application processing.

Your Loan Information
How much money are you interested in borrowing?	$
Cash available for down payment	$
Do you rent or own your home?
What is your monthly rent or mortgage?	$
Do you have a checking account?
Do you have a savings account?
Have you ever filed for bankruptcy?
If so, when?	/
Are you currently behind on any bills?