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DISCOVER CLASSIC CARS                                   (480) 949-8227 MAIN
7224 E. McDOWELL ROAD                                    (480) 949-9812 FAX
SCOTTSDALE, AZ 85257                                        (800) 531-2426 TOLL FREE

www.DiscoverClassicCars.com

Credit Application

Please complete the following credit application for credit approval. We will call you as soon as possible to confirm your information. Or, please call us toll free 1-800-531-2426

 

Applicant Information

Full Name:

Date of birth:

SSN:

Phone:

Current address:

City:

State:

ZIP Code:

Rent      Own    
(Please choose one)

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Rent      Own    
(Please choose one)

Monthly payment or rent:

How long?

Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly   Salary 
(Please choose one)

Annual income:

Previous employer:

Address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly   Salary 
(Please choose one)

Annual income:

Name of a relative not residing with you:

Address:

Phone:

City:

State:

ZIP Code:

Relationship:

Co-Applicant Information, if for a joint account

Name:

Date of birth:

SSN:

Phone:

Current address:

City:

State:

ZIP Code:

Rent      Own    
(Please choose one)

Monthly payment or rent:

How long?

Previous address:

City:

State:

ZIP Code:

Rent      Own    
(Please choose one)

Monthly payment or rent:

How long?

Employment Information

Current employer:

Employer address:

How long?

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly      Salary    
(Please choose one)

Annual income:

Previous employer:

Address:

Phone:

E-mail:

Fax:

City:

State:

ZIP Code:

Position:

Hourly      Salary    
(Please choose one)

Annual income:

Application Information Continued

Name of a relative not residing with you:

Address:

Phone:

City:

State:

ZIP Code:

Relationship:

Credit Cards

Name

Account no.

Current balance

Monthly payment

 

 


 

 

 

 


 

 

 

 


 

 

 

 


 

 

Mortgage Company

Account no.:

Address:

Auto Loans

Auto loans

Account no.

Balance

Monthly payment

 

 


 

 

 

 


 

 

 

 


 

 

Other Loans, Debts, or Obligations

Description

Account no.

Amount

 

 

 

 

 

 

 

 

 

Other Assets or Sources of Income

Description

Amount per month or value

 

 

 

 

I authorize Discover Classic Cars and it’s agents to verify the information provided on this form as to my credit and employment history.

Signature of applicant

Date

Signature of co-applicant, if for joint account

Date





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