Credit Application

Max Auto Sales best used cars in Lafayette

(866) 200-5028
Max Auto Sales
4895 Johnston St | Lafayette, LA 70503

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Credit Application

Primary Buyer's Information

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Legal First Name *

Legal Last Name *

Birth Date *

SSN # *

Drivers License # *

Home Address *

City *

State *

Zip Code *

Current Residence Duration *

Phone *

Email *

Housing Information

Please provide up to 2 years history of housing information.

Mortgage Holder/ Landlord *

Landlord Phone

Mortgage/Rent Payment *

Housing Status *

Security Deposit Amount *

Previous Residence Address *

Previous Residence City *

Previous Residence Duration *

Previous Residence Address *

Previous Residence City *

Previous Residence Duration *

Employment Information

Please provide up to 2 years history of employment information.

Employer Name *

Job Title *

Employer's Address *

City *

State *

Zip *

Employer Phone *

Supervisor's Name *

Shift or Hours Worked Per Week *

Current Employment Duration *

Date of Next Pay Day *

How do you get paid? *

Average Check Amount *

Previous Employer Name

Previous Employment Duration

Previous Employer Name

Previous Employment Duration

Gaps in employment in the past 3 years

Additional income type

Additional income amount

Vehicle of Interest

Have you spoken with anybody at Max Auto Sales? If so, whom?

What is the most down payment you can afford?

Signature

Signature *

Date *

By signing and submitting this form you acknowledge that you are sending your personal information to Max Auto Sales and give us permission to both contact you and check your credit history for the purposes of determining credit worthiness. A high or low credit score by itself does not determine a credit approval; we will also evaluate your income, job and residence history, and other factors. Each person is evaluated independently. Submitting this form does not guarantee acceptance. Your information is encrypted and transmitted securely to protect your privacy.