AutoHaus West

Phone: (949)595-7999
Cell: (714)612-6100
Fax: (949)595-7995

Email:info@autohauswest.com

Mon-Fri 10AM-6PM
Saturday - By Appointment
Sunday - By Appointment

750 W. 17Th Street # C
Costa Mesa, CA 92627

Hours & Location

ONLINE CREDIT APPLICATION

* Denotes Required Field

PRIMARY APPLICANT PERSONAL INFORMATION

Social Security #:

--
Social Security information is used for approval
and funding of an auto loan. This information will
not be shared for any other purpose.

Date of Birth:

Email Address:

Full Name:

Home Address:

City / State / Zipcode:

Rent or Own:

RentOwn

Landlord or Lender's Name:

Rent or Mortgage Amount:

Residency Length:

Years Months

Home Telephone:

Mobile Telephone:

PERSONAL REFERENCE

Full Name:

Home Telephone:

- -

Work Telephone:

- -

Home Address:

City / State / Zipcode:

Relationship to Applicant:

NEAREST RELATIVE TO APPLICANT

Full Name:

Home Telephone:

- -

Work Telephone:

- -

Home Address:

City / State / Zipcode:

Relationship to Applicant:

BANK INFORMATION

Bank Name:

Checking or Savings Account:

EMPLOYMENT INFORMATION

Employer:

Job Title:

Work Telephone:

--Ext.

Employment Length:

Years Months

Approx. Monthly Gross Income:

(before tax)

PREVIOUS EMPLOYMENT INFORMATION
*	Employer:
	Job Title:
*	Work Telephone:	--Ext.
	Employment Length:	Years Months

ADDITIONAL INCOME INFORMATION

Source:

Any comments:

I have a Co-Applicant for this credit application.

CO-APPLICANT PERSONAL INFORMATION

Social Security #:

--
Social Security information is used for approval
and funding of an auto loan. This information will
not be shared for any other purpose.

Date of Birth:

Email Address:

Full Name:

Home Address:

City / State / Zipcode:

Rent or Own:

Rent Own

Landlord or Lender's Name:

Rent or Mortgage Amount:

Residency Length:

Years Months

Home Telephone:

Mobile Telephone:

CO-APPLICANT BANK INFORMATION

Bank Name:

Checking or Savings Account:

CO-APPLICANT EMPLOYMENT INFORMATION

Employer:

Job Title:

Work Telephone:

--Ext.

Employment Length:

Years Months

Approx. Monthly Gross Income:

(before tax)

CO-APPLICANT PREVIOUS EMPLOYMENT INFORMATION
	Employer:
	Job Title:
	Work Telephone:	--Ext.
	Employment Length:	Years Months

CO-APPLICANT ADDITIONAL INCOME INFORMATION

Source:

Any comments:

In submitting this credit application, I/We certify that the information provided on this application is, to the best of my/our knowledge, complete and accurate. I/We understand that the Dealer and financial institution(s) will rely on this information to judge my/our credit worthiness, and will retain this application and information about me/us whether or not this application is approved. Further, I/We authorize an investigation of my/our credit and employment history, in conjunction with which my/our credit report(s) may be obtained from one or more consumer credit reporting agencies. I/We understand that false statements may subject me/us to criminal penalties. I/We further understand that the Dealer and/or the financial institution(s) that evaluate my/our application may require additional information.
FAIR CREDIT REPORTING ACT DISCLOSURE: I/We understand that this application for credit will be submitted by the dealer to various financial institutions for evaluation. Before this application is submitted, the Dealer will disclose to me the name and addresses of each institution that will receive copies of this application.

I agree to the terms and conditions of this application and give permission to the AUTOHAUS WEST to run an autmotive credit check on my behalf.