Application | Black Stallion Auto

Credit Application

First Name *

Initial

Last Name (Print) *

Birth Date

Drivers LIC No

Social Security No/ FED tax ID no *

Step 2:Residence info(Current Residence)

Address *

City *

State *

Zip *

Phone *

How Long *

Years

Months

Monthly Mortgage/Rent *

Residence Status *

Step 3:Previous Residence(Not required)

Previous Address(To Cover 5 year history)

How Long

Years

Months

Lived in the community

Years

Months

Step 4:Employment info

Occupation *

Present Employer *

How Long *

Years

Months

Address *

City *

State *

Zip *

Phone *

Total Income *

Do you have a Co-applicant?

Section B: information regarding spouse or Co-applicant

First Name

Initial

Last Name (Print)

Birth Date

Drivers LIC No

Social Security No/ FED tax ID no

Step 2:Residence info(Current Residence)

Address

City

State

Zip

Phone

How Long

Years

Months

Monthly Mortgage/Rent

Residence Status

Step 3:Previous Residence(Not required)

Previous Address(To Cover 5 year history)

How Long

Years

Months

Lived in the community

Years

Months

Step 4:Employment info

Occupation

Present Employer

How Long

Years

Months

Address

City

State

Zip

Phone

Total Income

I Accept signing this Agreement Electronically