On Line Application Form for Financing
 
This secure form will start your credit verification process. Fields marked with * are required.
If you prefer to print out a form and fax it to us, click on the print finance application and fax to763.404.7201.
 
Financing Print Option
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VEHICLE & TRADE-IN INFORMATION:
Description of vehicle you are interested in financing (Stock # or VIN):
How much of a down payment are you planning on making: $
Will you be trading in a vehicle?  
PRIMARY APPLICANT:
General:
First Name:* Middle Name: Last Name:*
Date of Birth:*
Social Security Number:* - -
Home Phone:   -   -
Cell or Work Phone:*   -   - Ext.
Email:*
Current Housing:
Housing Status:* Payment:* $ month Time at Residence:* Yrs. Mos.
Current Address:*
City:* State:* Zip Code:*
Landlords Name and Phone Number or Mortgage Holders Name & Phone Number:
*A minimum of 2 years worth of information is needed for an application to be accepted.
If you do not have at least 2 years of residence information please fill out Previous Housing, otherwise proceed to Current Employment Section.
Previous Housing (If applicable):
Time at Residence: Yrs. Mos.
Address:
City: State: Zip Code:
Current Employment :
Employer:* Position/Occupation:*
Time at current position:* Yrs Mos
Date of Hire:
Gross Monthly Income:* $ Other Income:* $ /mo Source:
Employer Address:*
Employer Phone:*   -   - Ext.
City:* State:* Zip Code:*
*A minimum of 2 years worth of information is needed for an application to be accepted.
If you do not have at least 2 years of employment information please fill out the next section, otherwise proceed to Co-Applicant or Current Vehicle Loans.
Previous Employment (If applicable):
Employer: Position/Occupation:
Length at your previous job: Yrs Mos Gross Monthly Income: $
BANKING INFORMATION:
Name of Bank: Branch Location:
Checking: Savings: Reloadable: Direct Deposit:
CO-APPLICANT (If applying for a joint account) :
General:
Relationship to Applicant:
First Name: Middle Name: Last Name:
Home Phone:   -   -
Cell or Work Phone:*   -   - Ext.
Date of Birth:
Social Security Number: - -
Email:
Current Housing :
Housing Status:* Payment:* $ month Time at Residence: Yrs. Mos.
Address:
City: State: Zip Code:
Landlords Name and Phone Number or Mortgage Holders Name & Phone Number:
*A minimum of 2 years worth of information is needed for an application to be accepted.
If you do not have at least 2 years of residence information please fill out the next section, otherwise proceed to Employment Section.
Previous Housing (If applicable):
Time at Residence: Yrs. Mos.
Address:
City: State: Zip Code:
Current Employment :
Employer: Position/Occupation:
Time at current position: Yrs Mos
Date of Hire:
Gross Monthly Income:$ Other Income:* $ /mo Source:
Employer Address:
Employer Phone:*   -   - Ext.
City: State: Zip Code:
*A minimum of 2 years worth of information is needed for an application to be accepted.
If you do not have at least 2 years of employment information please fill out the next section, otherwise proceed to Current Vehicle Loans.
Previous Employment (If applicable):
Employer: Position/Occupation:
Length at your previous job: Yrs Mos Gross Monthly Income: $
BANKING INFORMATION:
Name of Bank: Branch Location:
Checking: Savings: Reloadable: Direct Deposit:
Current Vehicle Loans:
Lending Company: Account Number:
Remaining Balance: $ Monthly Payment: $
 
Electronic Signature:
FOR THE PURPOSE OF SECURING CREDIT FOR YOU

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I FURTHER CERTIFY THAT I HAVE ATTAINED THE AGE OF MAJORITY. I AUTHORIZE YOU TO CHECK MY CREDIT AND EMPLOYMENT HISTORY AND WILL PROVIDE ANY AND ALL INFORMATION NEEDED REGARDING MY CREDIT EXPERIENCE.

* BY SUBMITTING THIS CREDIT APPLICATION, I VERIFY THE INFORMATION I HAVE PROVIDED IS COMPLETE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I FURTHER AUTHORIZE CITIES AUTO TO PERFORM AN INVESTIGATION OF MY CREDIT AND EMPLOYMENT HISTORY> I ALSO ACCEPT THE TERMS OF THE PRIVACY NOTICE.

BY TYPING (SIGNING) YOUR NAME ON THIS FORM IT IS CONSIDERED AN ELECTRONIC SIGNATURE AND REPLACES A WRITTEN SIGNATURE AND PAPER DOCUMENTS. HENCEFORTH YOUR ELECTRONIC SIGNATURE BEARS ALL THE SAME LEGAL ASPECTS OF A WRITTEN SIGNATURE ON A PAPER DOCUMENT.

Electronic Signature:* (Please type name) Date:   Yr.
 
ADDITIONAL INFORMATION:
 
Additional Comments: