On-Line Credit Application
HOW DID YOU FIND THIS SITE?
ABOUT YOU
First Name: «
Last Name: «
Street Address: «
City: «
State: «
Zip Code: «
Cell Phone #:
Not required but is best way to reach you.
Home Phone #: «
E-Mail Address:  «
Date of Birth: «
Social Security #: «
Rent or Own Home: «
Rent/Mortgage payment: «
Years at this address: «
Months at this address: «
EMPLOYMENT INFORMATION
Job Status: «
Employer: « 
Job Function: « 
Years at Job «
Months at Job «
Annual Income* $ «
*Alimony, child support or separate maintenance income need not be revealed if you
do not wish to have it considered as a basis for repayment.
LOAN INFORMATION
Purchase or Lease: «
Down Payment: «
Vehicle Desired:
Approximate Amount Requested:
Do You Have a Trade? «
If Yes, Describe Trade
How Soon Would You Like to take Delivery?
Do You Already Have a salesperson at J.M.Uvanni Motors?
If you have a salesperson. What is their name?
Notes about your credit or additional information
SPECIAL NOTICE

I/we certify that the information provided on this application is in the best of my/our knowledge, complete and accurate. I authorize the dealer to provide the information on my credit application to any dealership affiliated with J.M.Uvanni Motors for the limited purpose of attempting to obtain credit approval for the purchase of a new or used vehicle from J.M.Uvanni Motors By placing my initals next to the "I have read the Special Credit Notice"

I/we hereby authorize J.M.Uvanni Motors to request a consumer report in connection with this application for credit or any future update, renewal or extension of credit. upon request,
you will be informed whether or not a consumer report was requested. If a report was requested,
you will be informed of the name and address of the consumer agency that furnished the report.

WARNING
Falsification of your identification is fraud and will be prosecuted to the fullest extent of the law.
Last Steps
By Entering my initials here I certify that I have read the Special Credit Notice
and understand my rights:		   «
Drivers Licence Number
IMPORTANT NOTE: You will need to bring in this drivers licence
as proof of identity on delivery of your vehicle.		 «
 

Items Marked with « are Required