Credit application requests will be processed the next business day. Please provide information at your discretion.
Optional - only complete this section if less than 2 years at current address.
IMPORTANT: If you have a spouse the Spouse's Gross Monthly Income and Time spent with the present employer questions must be completed even if it is zero.
IMPORTANT: If you have a spouse this fields must be completed even if it is zero.
APPLICANT AUTHORIZATION: I hearby authorize Southridge Chrysler to conduct a personal credit worthiness investigation and BY MY SUBMITTING THIS FORM ACCEPT AS NOTICE IN WRITING OF AND AUTHORIZE THE OBTAINING OF ANY INFORMATION REQUIRED RELATED TO THIS APPLICATION from any source to whom Southridge Chrysler may apply, and each source is authorized to provide Southridge Chrysler with such information. In addition, I authorize Southridge Chrysler to disclose, in response to direct inquiries from any other lender or credit bureau, any information concerning my loan and account that Southridge Chrysler considers appropriate and I agree to indemnify Southridge Chrysler and save it harmless from any and all claims on damages or otherwise arising from any such disclosure made by Southridge Chrysler. The applicant is advised that Southridge Chrysler or it's assignee intends to refer to a report from a credit reporting agency in connection with the sale transaction proposed; and the applicant consents to the obtaining of such information from his present and any future employer, any credit reporting agency or any other person Southridge Chrysler/or its assignee may require at any time in the connection with such transaction and to the disclosure of any information concerning the undersigned to any credit reporting agency or any person with whom the applicant has or proposes to have financial relations.