CREDIT APPLICATION

BBBOnLine Reliability Seal

By filling out the credit application, you authorize D & H Motors to call credit bureaus and start processing a loan for the purchase of an automobile.  Please fill every question that applies to you and your co-applicant.  Thank you.

All required blanks need to be filled out in order for the form to be sent!

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APPLICANT
 
LAST NAME
(required)
SUFFIX
FIRST NAME
(required)
MIDDLE INITIAL
DATE OF BIRTH
(required)
CA DRIVERS LICENSE 
(required)
SOCIAL SECURITY NUMBER
(required)
MARITAL STATUS

HOME ADDRESS

HOUSE #
(required)
STREET NAME
(required)
APARTMENT #
CITY
(required)
STATE
(required)
ZIPCODE
(required)
CURRENT PHONE NUMBER
(required)
HOW LONG AT PRESENT ADDRESS
YEARS         MONTHS
      (required)
NAME OF LANDLORD OR MORTGAGE HOLDER
ADDRESS AND PHONE NUMBER OF LANDLORD OR MORTGAGE HOLDER
MONTHLY PAYMENT ON HOUSE OR APARTMENT
(required)
PREVIOUS ADDRESS (TO COVER 5 YEAR HISTORY)
CITY
STATE
ZIPCODE
HOW LONG AT PREVIOUS ADDRESS
YEARS    MONTHS

APPLICANT'S EMPLOYMENT

PRESENT EMPLOYER
(required)
EMPLOYER'S ADDRESS (STREET, CITY, STATE, ZIPCODE)
EMPLOYER'S PHONE #
OCCUPATION
(required)
HOW LONG AT PRESENT JOB
YEARS    MONTHS(required)
PRESENT MONTHLY GROSS INCOME FROM EMPLOYMENT
(required)
DESCRIBE OTHER MONTHLY INCOME (CHILD SUPPORT, OTHER JOB, ALIMONY)
(required)
AMOUNT FROM OTHER INCOME
(required)
PREVIOUS EMPLOYMENT (TO COVER 5 YEAR HISTORY)
PREVIOUS EMPLOYER'S ADDRESS (STREET, CITY, STATE, ZIP CODE)
PREVIOUS EMPLOYER'S PHONE #
HOW LONG AT PREVIOUS JOB
YEARS    MONTHS
 
 
CO-APPLICANT
 
LAST NAME
SUFFIX
FIRST NAME

MIDDLE INITIAL
DATE OF BIRTH
CA DRIVER'S LICENSE
SOCIAL SECURITY NUMBER
MARITAL STATUS
 
HOME ADDRESS
 
HOUSE #
STREET NAME
APARTMENT #
CITY
STATE
ZIPCODE
CURRENT PHONE NUMBER
HOW LONG AT PRESENT ADDRESS
YEARS    MONTHS
PREVIOUS ADDRESS (TO COVER 5 YEAR HISTORY)
CITY
STATE
ZIPCODE
HOW LONG AT PREVIOUS ADDRESS
YEARS     MONTHS

CO-APPLICANT'S EMPLOYMENT

PRESENT EMPLOYER
EMPLOYER'S ADDRESS (STREET, CITY, STATE, ZIPCODE)
EMPLOYER'S PHONE #
HOW LONG AT PRESENT EMPLOYMENT
YEARS    MONTHS
CURRENT MONTHLY GROSS INCOME FROM EMPLOYMENT
DESCRIBE OTHER MONTHLY INCOME (CHILD SUPPORT, OTHER JOB, ALIMONY)
AMOUNT FROM OTHER INCOME
PREVIOUS EMPLOYMENT (TO COVER 5 YEAR HISTORY)
PREVIOUS EMPLOYER'S ADDRESS (STREET, CITY, STATE, ZIPCODE)
PREVIOUS EMPLOYER'S PHONE #
HOW LONG AT PREVIOUS EMPLOYMENT
YEARS    MONTHS
 

VEHICLE YOU ARE INTERESTED IN

VEHICLE YOU ARE APPLYING FOR
INCLUDE STOCK #, MAKE, AND MODEL
AMOUNT OF DOWN PAYMENT
IS THERE A TRADE?
YESNO
IF YES PLEASE STATE THE FOLLOWING INFORMATION
MAKE
MODEL
YEAR OF VEHICLE
MILEAGE
EQUIPMENT VEHICLE HAS
CONDITION OF THE CAR
EXCELLENTGOODFAIRPOOR
 
MOTHER'S MAIDEN NAME
(By supplying your mother's maiden name, this further assures us of your identity.  This information
is for the use of D & H Motors only)
(required)
DATE
E-MAIL
(required)