Business Credit Application - Prime Time Auto Lease

Business Name*

Business Type*

Federal Tax ID Number*

Ex: XX-XXXXXXX

Year Established*

Ex. 2001

Business Address*

Street Address Line 2

City / State*

City State / Province

Postal / Zip Code*

Business Phone Number*

Ex. (000) 000-0000

Business Email Address*

[email protected]

Gross Monthly Income*

Ex. $85000

Personal Credit Application

Full Name*

First Name Last Name

Date of Birth*

Ex. 02/28/1963

Social Security*

000-00-0000

Current Address*

Street Address Line 2

City / State*

City State / Province

Phone Number*

Ex. (000) 000-0000

Email*

[email protected]

Type of Residence*

Own
Renting
Live with relatives

Postal / Zip Code*

Mortgage/Rent Amount*

Ex. $2500

Years at Residence*

Gross Monthly Income*

Ex. $85000

Fair Credit Reporting Act Disclosure

By Signing this document you agree to the following: I certify that the information I have provided on this application is, to the best of my knowledge, complete and accurate. I have read the Privacy Policy and authorize that my credit report is obtained. I am 18 years of age or older with a valid driver's license. I understand that financial institution(s) will rely on this information to judge my credit worthiness, and will retain this application and information about me whether or not this application is approved. Further, I authorize an investigation of my credit and employment history, in conjunction with which my credit report(s) may be obtained from one or more consumer credit reporting agencies. I understand that false statements may subject me to criminal penalties. I further understand that the Dealer and/or the financial institution(s) that evaluate my application may require additional information. I/We understand that this application for credit will be submitted by the Dealer to various financial institutions for evaluation.

Electronic Signature (by signing this, you are allowing access to your credit report)**

Vehicle of Interest*

Ex. Audi A4

How did you hear about us?*

Monday	9am > 9pm
Tuesday	9am > 9pm
Wendsday	9am > 9pm
Thursday	9am > 9pm
Friday	9am > 9pm
Saturday/Sunday	9am > 9pm