Pre-Qualification - Customer Info

Pre-Qualification

Personal Info

First Name

Middle Name

Last Name

Email 1

Date Of Birth

SSN

Cell Phone

Home Phone

Is Military

Vehicle of Interest

Year

Make

Model

Drivers License

Number

State

Expiration Date

Current Address

Address 1

Address 2

City

State

County

Postal Code

Residential Status

Mortgage Company

Employments

Employment Status

Previous Employments

Employer 1

Employer Name

Address 1

Address 2

Employer City

Employer State

Postal Code

Phone

Years Employed

Months Employed

Employer 2

Employer Name

Address 1

Address 2

City

State

Postal Code

Phone

Years Employed

Months Employed

Incomes (Monthly)

Primary Monthly Income

Paycheck Frequency

Other Income

Other Income Type

Expenses (Monthly)

Rent / Mortgage

Car Loan Payment

Card Payment

Other Payment

Debt (monthly)

References

Name

Address 1

Address 2

City

State

Postal Code

Phone

Reference 2#

Name

Address 1

Address 2

City

State

Postal Code

Phone

Reference 3#

Name

Address 1

Address 2

City

State

Postal Code

Phone

Reference 4#

Name

Address 1

Address 2

City

State

Postal Code

Phone

Reference 5#

Name

Address 1

Address 2

City

State

Postal Code

Phone

Bank Details

Name

Account #

Account Type

Routing #

acknowledgment_consent
I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.

I agree to allow the creditor to submit the application to other affiliates or third-party financial partners in an effort to obtain credit. All acknowledgements and authorizations extend to those partners and affiliates as well.
I agree to allow the creditor or its’ authorized partners to contact me at the email address above or on any of the phone numbers provided. Such contact may include voice calls, text messages, pre-recorded or artificial voice messages, and the calls may be made naturally or through the use of automatic or computer-aided dialing systems. All such calls may be monitored or recorded for quality or training purposes.
Federal Law requires that financial companies obtain sufficient information, including your Taxpayer Identification Number, or Social Security Number, to positively verify the identity of the person(s) applying for credit. You may be asked to provide acceptable identification documents and provide supplemental forms of identification or other supporting documentation to verify certain information.

Privacy
Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. Click here to read the privacy notice.
Prequalification
By clicking on the checkbox and submit, I consent to have my credit file accessed and employment verified for purposes of prequalifying for a vehicle loan. This is a soft inquiry and will not impact my credit score. I agree to the Privacy Notice, Terms and Conditions and I acknowledge I may be contacted by NORTHWOOD AUTOMOTIVE. I understand that I might not prequalify depending on the prequalification criteria.
Electronic Signature
I agree to electronically sign this application for Credit by allowing you to record my IP address, as well as the time and date.