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Ron's Classic Cars
The transmission of this application is safe and secure and will be delivered with high assurance to us:
Ron's Classic Cars Credit Application
(423) 667-9956, Fax(423) 842-8030 
9631 Dayton Pike, Soddy Daisy, TN.  31904
Email: RonsClassicCars@comcast.net 

 

To complete this form is a two step process.
(1.)Applicant  (2.)Co-Applicant (if any)  = Complete

(If a field is required, but not applicable, enter NA in the field)

 
*Applicants Name


*Dealership Name


*Applicants Email


*Social Security Number


*Date Of Birth


*Age


*Driver's License Number and State of Issue:


*Gender


*Present Address:


How Long:


*Payment/Rent Amount?


Home Telephone Number

1-555-555-555



*Cell or Pager Number:

1-555-555-555



Apartment Complex / Landlord Name:


Phone Contact of Landlord/Mortgage Company


(If Rent Is Split) Room Mate Name


Previous Address


*How Long? Current Salary: Hrs/Shift?


Previous Rent/Mtg. Amount:


Previous Apartment Landlord:


Previous Apartment LandlordPhone:


*Current Employer


*Current Employer address


*Gross Wages(monthly):


*Rate:


*Hours / Shift


*Pay Period


*Supervisor


*Occupation:


*Start Date:

_____/____/_____



*How Long:

Years____ , Month_____.



*2nd Job / Other Inc.


*2nd Job Gross Wages(monthly)


*2nd Job Start Date:

_____/____/_____



*Previous Employer


*How Long:

Yr._____ Mo _____



*END DATE


*Reason Leaving:


*Rent or Own


How long at previous address? Current Salary? Hrs/Shift?


Applicant Authorization

The undersigned hereby authorizes the selling dealer (Ron's Classic Cars) to initiate a credit investigation based upon the above information, which has been voluntarily provided, warranting that all information is true and accurate.  The undersigned further warrants that a bankruptcy proceeding is neither in progress nor anticipated and acknowledges receipt of this application.

I promise that all the above information is correct to the best of my knowledge.


*Please Type initials if you agree to our credit investigation