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Yingst Automotive Finance Application
Applicant E-Mail
Important: Enter a valid e-mail address. Correspondance will be sent to this address.
E-Mail:*
Applicant Information
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Home Phone:*
Work Phone:*
Cell Phone:
Years at Current Address:*
Number of Dependents:*
Date of Birth:
*
Driver`s License Number*
Social Security Number*
Address if at Current for less than 2 Years
Co-Applicant Information
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Years at Current Address:
Number of Dependents:
Date of Birth:
Driver`s License Number
Social Security Number
Address if at Current for less than 2 Years
Financial Information (Applicant)
Rent/Own(Mortgage)*
Mortgagee/Landlord Name:*
Mortgagee/Landlord Phone:
Current Mortgage/Rent:*
Current Occupation:*
Current Employer or Business Name:*
Business Address:*
Type of Business:*
Position Held:*
Supervisor Name & Title:*
Supervisor Phone:*
Start Date:*
Gross Monthly Income(Before Taxes):*
Previous Occupation(If Less than 2 Years at Current Job):
Previous Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Start Date:
Years Employed:
Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income Source:
Monthly Income:
Financial Information (Co-Applicant)
Rent/Own(Mortgage)
Mortgagee/Landlord Name:
Mortgagee/Landlord Phone:
Current Mortgage/Rent:
Current Occupation:
Current Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Start Date:
Gross Monthly Income (Before Taxes):
Previous Occupation(If Less than 2 Years at Current Job):
Previous Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Start Date:
Years Employed:
Note: Alimony,child support or separate maintenance income need not be revealed.
Other Income Source:
Monthly Income:
Amount and Type of Loan Request
Down Payment Amount:*
Loan Amount Requested:
*
Desired Payment:*
Year, Make & Model:*
Type of Credit:*
Individual
Joint
I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE IT`S VERIFICATION
AND THE OBTAINING OF A CREDIT REPORT AND REVIEW OF MY EMPLOYMENT HISTORY.
I understand any false or misleading statements in my application may cause any loan to be in default. I agree
that this application shall be this Institutions`s property whether or not this credit application is approved.
Dated:*
By entering my first & last below, I stipulate that I agree to
all of the terms and conditions stipulated on this application.
Signature:*
*
Enter your first and last name in the spaces above.
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