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LOOP EAST MOTOR COMPANY ONLINE CREDIT APPLICATION
This Online Credit Application is located on a Secure Server. Your information that you submit through this form will be used only by the Loop East Motor Company for the Vehicle Loan approval process. Information is never shared or distributed to any person outside the Loop East Motor Company.
IMPORTANT: Read these Directions before completing this Application. (Check Appropriate Box)
If you are applying for Individual credit in your own name and are relying on your own income or assests and not the income or assets of another person as the basis of repayment of the credit requested, do not complete the sections relating to joint applicant.
If this is an application for joint credit with another person, complete all sections, providing information about the joint applicant.
If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all sections to the extent possible, providing information about the person on whose alimony, support, or maintenance payments or income or assets you are relying.
Applicant Name
BirthDate
Address
City/State
Zip Code
No. Years
Phone
Social Security Number
Drivers License Number
Employer
Phone
Length of Employment
Position
 
Joint Applicant
BirthDate
Address
City/State
Zip Code
No. Years
Phone
Social Security Number
Drivers License Number
Employer
Phone
Length of Employment
Position
 
Former/Present Bank
Account Number(s)
Name of Friend or Relative
Phone
Name of Friend or Relative
Phone
 
Purpose of Loan
Amount Requested
 
INCOME
You do not have to reveal income from alimony, child support, or separate maintenance unless you wish to have it considered as basis for repayment.
Applicant Income
Per
Other Income
Per
Joint Applicant Income
Per
Other Income
Per
 
MORTGAGE OR RENT
Payment Amount
To Whom
Purchase Price
Balance
Value
 
PROPERTY-AUTO/TRUCKS DESCRIPTION IS IT FINANCED? CREDITOR BALANCE/LOAN PAYMENTS
Yes
No
Yes
No
OTHER DEBTS-CREDITOR
AMOUNT
PAYMENT
OTHER DEBTS-CREDITOR
AMOUNT
PAYMENT
 
Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. Loop East Motor Company is authorized to check my credit and employment history and I will answer questions about my credit history with Loop East Motor Company.
Applicant Name Applicant Email Address
 
Please look over the information you entered above and make sure it is correct. When complete, please click the 'Submit Application' button below to send your credit application to the Loop East Motor Company.