Loan Application

Specializing in
Vehicle Financing
& Personal Loans

7048 Knightdale Blvd, Suite 100 Knightdale NC 27545

Phone: (919)269-9600
Fax: (919)269-7965

Automatic Finance, Inc. does not use a credit score to determine credit. We consider all aspects of the application on a case by case basis.

"Call, click, or come by our office..."

Loan Application

Complete all fields marked with an asterisk (*). You must complete the verification field at the end to submit your application.

BY SUBMITTING MY/OUR INFORMATION TO AUTOMATIC FINANCING INC, I/WE CERTIFY, I/WE ARE SAID APPLICANT(S) AND ALL INFORMATION IS ACCURATE AND TRUE. I/WE AUTHORIZE AUTOMATIC FINANCING INC TO MAKE WHATEVER CREDIT INQUIRIES NECESSARY TO OBTAIN MY CREDIT REPORT. THIS APPLICATION CAN BE USED FOR POTENTIAL CREDIT REVIEW OR COLLECTION ATTEMPTS IN THE FUTURE. AUTOMATIC FINANCING INC MAY REPORT YOUR ACCOUNT TO THE CREDIT BUREAUS, LATE PAYMENTS, MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT.

Name

First Name*

Middle Name*

Last Name*

Address

Address*

City*

State*

ZIP*

Personal Info

Date of Birth*

SSN*

Drivers License #

Gender

Marital Status

Number of Dependents

Contact Info (Must supply at least one of the following)

Home Phone

Cell Phone

Email Address

Residence

Type of Residence (Rent/Own/Own with Mortgage)

Landlord /Mortgage Company

Length of Residence (Years/Months)

Employment

Employer*

Employer Address*

Employer Phone*

Manager Name

Gross Monthly Income*

Additional Income

Length of Employment (Years)*

Military Service

Are you a military service member?* No Yes

If yes, what is your rank?

Loan Information

Amount of Loan Requested*

Purpose of Loan (If you want to purchase a vehicle please type “PURCHASE VEHICLE”, include the VIN number and any details about the vehicle)*

Collateral

Year

Make

Model

Mileage

Currently Financed? Yes No

Verification

Enter the characters you see

Powered by BreezingForms

Powered By Joomla Perfect