Thoroughbred Nissan

5163 E. 22nd St.
Tucson, AZ 85711
Phone: 520-618-6500
Fax: 520-618-1602

Complete the form on-line, then CLICK HERE  to Print , sign it, and fax to (520)790-4659

DEALER INFORMATION ................................................................(Use For Business Applications Only)
COMPANY NAME PERSONAL GUARANTOR/CO-APPLICANT
COMPANY NAME (Include DBA)
YEARS IN BUSINESS FEDERAL I.D. NUMBER
STREET ADDRESS
CITY STATE ZIP BUSINESS PHONE
BILLING ADDRESS
CITY STATE ZIP BUSINESS PHONE
TRADE
STYLE
PROPRIETORSHIP
LIMITED LIABILITY COPORATION
PARTNERSHIP
CORPORATION
U.S. GOVERNMENT AGENCY
NON-PROFIT ORGANIZATION
BANK NAME BRANCH
LOAN OFFICER PHONE
CHECKING ACCOUNT ACCT. NO.
LAON ACCOUNT
ASSIGNED DRIVER'S NAME
DRIVER'S HOME ADDRESS
DRIVER'S POSITION IN COMPANY DRIVER'S LISCENSE NUMBER
DRIVER'S SOCIAL SECURITY NUMBER STATE ISSUING DRIVER'S LICENCE
FULL
NAME
FIRST MI LAST
SR
JR
STREET ADDRESS APT# HOW LONG?
YRS MOS
DATE OF BIRTH AGE SOCIAL SECURITY NUMBER
OWN/BUY LIVING WITH RELATIVE MONTHLY PAYMENT
RENT/LEASE OTHER $
MORTGAGE OR LANDLORD MONTHLY PAYMENT
$
BANK NAME BRANCH CHECKING ACCT#
BANK NAME BRANCH SAVINGS ACCT#
EMPLOYER NAME HOW LONG?
YRS MOS
EMPLOYER ADDRESS
POSITION/TITLE BUSINESS PHONE GROSS ANNUAL SALARY
$
ALIMONY, CHILD SUPPORT OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED. IF YOU DO NOT WISH TO HAVE IT CONSIDERED AS A BASIS FOR REPAYING THIS DEBT.
OTHER INCOME SOURCE
ANNUAL AMOUNT
$
 
PREVIOUS EMPLOYER OR SCHOOL HOW LONG?
YRS MOS
 
REFERENCES
PREVIOUS VEHICLE NAME OF FIRM
LEASED FINANCED
ADDRESS PHONE
OPEN
PAID
TRADE
PREVIOUS VEHICLE NAME OF FIRM
LEASED FINANCED
ADDRESS PHONE
OPEN
PAID
TRADE
CREDITOR NAME PHONE
NAME PHONE
AUTO CREDIT REFERENCE TRADING? ANNUAL AMOUNT
YES NO $
OTHER CREDIT REFERENCE BALANCE
$
NEAREST RELATIVE (NOT LIVING WITH YOU) RELATIONSHIP
ADDRESS PHONE
ADDITIONAL REFERENCE RELATIONSHIP
ADDRESS PHONE
SIGN

NOTICE: I, THE UNDERSIGNED, HERBY AUTHORIZE THE DEALER, THOROUGHBRED NISSAN TO VERIFY CREDIT AND EMPLOYMETN HISTORY AS STATED ABOVE AND TO ANSWER QUESTIONS ABOUT CREDIT EXPERIENCE WITH ME, INSURANCE REATED TO THE CREDTI FOR WHICHE I AM APPLYING MAY BE PURCHASED FROM AN INSURER OR AGENT OF MY CHOICE WHO MEETS PROSPECTIVE CREDITOR STATNDARDS, IN CONNECTION WITH THIS APPLICATION FOR CREDIT, PROSPECTIVE CREIDTORS MAY REQUEST A CREDIT REPORT, ON MY REQUEST, PROSECTIVE CREDITORS WILL ADVISE ME IF THE REPORT WAS ACTUALLY ORDERED AND IF SO, THE NAME AND ADDRESS OF THIE AGENCY THAT FURNISHED THE REPORT, PRESPCTIVE CREDITORS MAY ORDER SUBSEQUENT CREDIT REPORTS.

I AUTHORIZE PROSCTIVE CREDITORS TO ASK MY PAST AND CURRENT CREDITORS ("CREDIT REFERENCES"), INCLUDING CREDITORS LISTED ABOVE OR ON MY CREDIT REPORT, ABOUT MY CREDIT PERFORMANCE WITH THEM. PROVISION BY PROSPECTIVE CREDITORS OF A COPY OF THIS AUTHORIZATION SHALL SERVE AS MY DIRECTION THAT MY CREDIT REFERENCES PROVIDE MY CREDIT PERFORMANCE INFORMATION.

EVERYTHING THAT I HAVE STATED IN THI APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. IN UNDERSTAND THAT PROSPECTIVE CREDITORS WILL RETAIN THIS APPLICATION WHETHER OR NOT IT IS APPROVED. I WILL NOTIFY PROSPECTIVE CREDITORS, IF APPLICATE, WITHIN A REASONABLE TIME OF ANY CHANGE IN MY NAME, ADDRESS OR EMPLOYMENT.

________________________________________ ________________________________________
SIGNATURE DATE
SIGNATURE DATE
DEALER
PROPOSED FINANCING TERMS
RETAIL
SALES PRICE $ _________
DOWN PAYMENT $ _________
NET TRADE $ _________
AMT FINANCED $ _________
PROGRAM $ _________
TERM $ _________
RETAIL
GROSS CAP $ _________
REDUCTION $ _________
ADJUSTED CAP $ _________
MSRP $ _________
PROGRAM $ _________
PAYMENT ___________ TERM ___________
VEHICLE DESCRIPTION
VIN ______________________________________________________
NEW
USED
DEMO
YEAR ______________
MAKE ______________
MODEL______________
USED VALUE GUIDE:
NADA
KELLEY
BLACK BOOK
BOOK VALUE $___________
MILEAGE ______________
TRADE IN:
 
 
YEAR ______________
MAKE ______________
MODEL______________
 

Complete the form on-line, then CLICK HERE  to Print , sign it, and fax to (520)790-4659