AUTOMOTIVE CREDIT APPLICATION Applicants Name: (Last)   (First)               (Initial)         (Suffix)                     Down Payment     Vehicle Interested In? (Year/Make/Model) Current Address: (Street) (Apt) (City) (State) (Zip) Date of Birth: Social Security No. Rent Own Live With Parent(s) How long at this address? years months. Monthly Rent/Mortgage Landlord or Mortgage Holder (Name) (Phone)     Former Addresses (Last three years) Previous Address: (Street) (Years)   (City) (State) (Zip)       Previous Address: (Street) (Years)   (City) (State) (Zip) Home Phone: Cell Phone:   E-Mail Address: Current Employer: Work Phone:  Job Description     Supervisor: Hire Date   Month     Year Do you have direct deposit?   Yes No Do you have a Bank Account ? Checking Savings  Both Gross Monthly Income:   Prior Employment (Last Four Years) Employer: From: To: Employer: From: To: Have Civil Judgments ever been filed against you? Yes No When? Have you ever filed for Bankruptcy? Yes No When? Have you ever had a vehicle repossessed? Yes No When? Foreclosure on a House? Yes No When? Do you have other car loans outstanding? Yes No To whom? Three References: List Nearest Relative Not Living With You, and Friend(s) Name: Address: (City, State and Zip) ———Relationship: Phone: Name: Address: (City, State and Zip) ———Relationship: Phone: Name: Address: (City, State and Zip) ———Relationship: Phone: Payment Requested?           Comments and Questions:                                                       ( 80 Characters Max ) Best Time and Phone Number For Us To Contact You?   INCOMPLIANCE WITH THE FAIR CREDIT REPORTING ACT – AUTHORIZATION The above information is supplied by me and is correct. I hereby authorize Via Auto Sales and their affiliated lending institutions to obtain information on my credit history. I understand that I have, within a reasonable amount of time, the right to make a written request to receive information about the information contained in my credit report.  NOTE: We cannot proceed unless all of the pertinent information is complete and Authorization is given. Please check here if you agree to the previous statement and give Authorization for us to proceed. Date:

Hours of Operation

                                         Sales Hours                                                                 Service Hours

                        Monday:        9:00am -- 7:00pm                                 Monday:         8:00am -- 5:00pm
                        Tuesday:       9:00am -- 7:00pm                                Tuesday:        8:00am -- 5:00pm
                        Wednesday: 9:00am -- 7:00pm                                Wednesday:  8:00am -- 5:00pm
                        Thursday:     9:00am -- 7:00pm                                Thursday:      8:00am -- 5:00pm
                        Friday:          9:00am -- 6:00pm                                 Friday:          8:00am -- 5:00pm
                        Saturday:     9:00am -- 5:00pm                                 Saturday:     8:00am -- 2:00pm
                        Sunday:        By Appointment                                     Sunday:        Closed

 

  NOTE: If the hours posted above are not convenient to your schedule,
 please call us and we will be glad to accommodate you by appointment.
THANK YOU FOR YOUR BUSINESS