Financing

Personal Information

Residence Information

Prior Address (if any)

Accounts in Your Name

Driver’s License Information

Employment Information

Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered for loan repayment.

Vehicle Information

Down Payment

Trade-In Information

By submitting this application, I authorize Sam Auto Sales, and any potential financing sources it presents this application to, to obtain my credit report and perform any investigation necessary for credit verification. I understand my information may be retained and shared according to the dealership's privacy policy and that periodic checks on my credit, employment, and salary history may be conducted.