9120 Leroy Road
Princeton, TX 75407

Finance Application


Name of your bank

Residence Information

Previous addresses if current is less than 2 years

Employment Information

Previous employment if current is less than 2 years

Income Information

Vehicle(s) you are interested in buying


Everything that I have stated in this application is correct to the best of my knowledge. I understand that you and/or any potential financial institutions will retain this application and any other credit information you receive whether or not it is approved. You and/or any potential financial institutions are authorized to check my credit and employment history and to answer questions about your credit experience with me. I authorize any person or consumer-reporting agency to complete and furnish any information it may have or obtain in response to your credit inquires. Whenever you make them.

The undersigned hereby: certify that the information contained on this application and financial statement is true and complete; warrant that we have no debts, financial obligations or liabilities nor stated hereon; recognize the penalties and defenses resulting from giving a false statement of financial condition; recognize that the giving of false information hereon may be illegal and fraudulent and may be the basis for denying a discharge in bankruptcy.

I further state that I am not contemplating a bankruptcy action at the present time and that I have no unpaid judgements or executions or pending legal proceedings against me. For the purpose of obtaining credit I/we affirm that the above statement is true, complete and correct. You or subsidiaries shall be privileged to make any investigation concerning me/us and concerning me above inquires and to disclose to each other and to any other interested parties the result of such investigations or your experiences with my account.

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