Credit Application

Please, fill out the form below to apply for credit. We will get back to you within 24-48 hours. Thank you for your interest.

Application Type

Select Application Type
Individual Application Joint Application

Please specify.

Vehicle of Interest

Select Vehicle of Interest
Purchase Price

Purchase Information

Finance or Lease
Finance Lease
Preferred Term
Lease Miles / Year

Down Payment
Monthly Payment

Trade-in

Do you Have a Trade-in? Yes No

Applicant Information
Co-applicant Information

Applicant Information

Last Name*
Suffix
First Name*
Middle Name

Home Phone Number
Contact Phone*
Email*

SSN
Date of Birth

Driver License Number
Driver License Expiration Date Year Month

Address
Address 2
City
State
ZIP

Landlord Name
Landlord Address
Landlord Phone

Time at Current Residence Years Months
Residence Type
Your Rent/Mortgage Payments Per Month

Marital Status
County

Applicant Previous Address

Address
Address 2
City
State
ZIP

Time at Current Residence Years Months
Residence Type
Your Rent/Mortgage Payments Per Month

Applicant Employment Information

Occupation
Employer

Gross Salary/Mo (Digits Only)
Income Interval

Employment Status
Employment Type

Address
City
State
ZIP

Time in Job Years Months
Contact Phone

Applicant Previous Employment Information

Occupation
Employer

Gross Salary/Mo (Digits Only)
Income Interval

Employment Status
Employment Type

Address
City
State
ZIP

Time in Job Years Months
Contact Phone

Applicant Additional Income Information

Amount (Digits Only)
Source
Income interval

Applicant Information

Last Name*
Suffix
First Name*
Middle Name

Home Phone Number
Contact Phone*
Email*

SSN
Date of Birth

Driver License Number
Driver License Expiration Date Year Month

Address
Address 2
City
State
ZIP

Landlord Name
Landlord Address
Landlord Phone

Time at Current Residence Years Months
Residence Type
Your Rent/Mortgage Payments Per Month

Marital Status
County

Applicant Previous Address

Address
Address 2
City
State
ZIP

Time at Current Residence Years Months
Residence Type
Your Rent/Mortgage Payments Per Month

Applicant Employment Information

Occupation
Employer

Gross Salary/Mo (Digits Only)
Income Interval

Employment Status
Employment Type

Address
City
State
ZIP

Time in Job Years Months
Contact Phone

Applicant Previous Employment Information

Occupation
Employer

Gross Salary/Mo (Digits Only)
Income Interval

Employment Status
Employment Type

Address
City
State
ZIP

Time in Job Years Months
Contact Phone

Applicant Additional Income Information

Amount (Digits Only)
Source
Income interval

Applicant Survey

How did you Hear About us?
Did any Salesperson Help you? Yes No
Which One?

Disclosure

I(each applicant) understand that my application will be shared with Burnsville Auto Sales as well as third party financing entities.I understand that you, the dealer, will review my application on behalf of itself or on behalf of affiliated entities that provide automotive financial services to dealers or directly to consumers. I understand this partial application may not provide sufficient information to make a credit decision. If this occurs, I agree to provide the additional information required to the dealer. If I do not provide this information, I understand my application will be incomplete. I also understand that further information may be requested by you, the dealer, or any third party entities that provide credit. In order to successfully transmit and receive the information and disclosures related to this credit application, I understand I must have an active Internet connection, a browser capable of sending and receiving secure information and the ability to print pages from this Web site for my records. I consent to receive the information, follow-up communications, and disclosures related to this credit application and any subsequent credit transaction from you, your affiliates, agents and service providers, in writing, verbally, or electronically. This consent includes, but is not limited to, contact by manual calling methods, prerecorded or artificial voice messages, text messages, emails and/or automatic telephone dialing systems using any e-mail address or any telephone number I provide, now or in the future, including a number fora cellular phone or other wireless device, regardless of whether I incur charges as a result. I agree that you, your affiliates, agents and service providers may monitor and record telephone calls regarding this credit application and any subsequent credit transaction to assure the quality of your service or for other reasons. I understand that each time I submit a credit application, a notice will be placed on my credit report. I certify that the information that I submit with this application is true and complete to the best of my knowledge. I further certify that I have attained the age of majority. I authorize you to check my credit and employment history, and to provide and/or obtain information about credit experiences with me.

I Understand and Accept the Terms and Conditions Above. *

Applicant's Name
Co-Applicant's Name

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