Credit Application

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* Required Field

Application Type *

Personal Information

Applicant:

First Name *

Middle Name

Last Name *

Email Address *

Cell Phone *

Social Security #*

Date of Birth *

Marital Status *

Employment Information

Applicant:

Employment Status *

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Co-Applicant

Employment Status

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Residential Information

Applicant:

Current Address *

Current Address Line 2

City *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Previous Address

Previous Address Line 2

Co-Applicant

Current Address *

Current Address Line 2

City *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Previous Address

Previous Address Line 2

Desired Vehicle

Filter Desired Vehicle

Year:

Make:

Model:

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Desired Vehicle

Trade-In Vehicle

VIN

Year

Make

Model

Exterior Color

Mileage

Condition

Asking Price

Remaining Balance

Describe Vehicle Condition and History

I certify that the information provided by me is correct.
I certify that I am eighteen years of age or older.

By submitting this application, I certify that all information provided is true, complete, and accurate to the best of my knowledge. I authorize Feldman Auto Sales and its participating lenders, financial institutions, and service providers to obtain consumer reports, verify information, and evaluate my creditworthiness in connection with this application. I consent to the use of electronic records, electronic signatures, email communications, telephone communications, and text messages as described in the dealership disclosures.

I acknowledge that I have reviewed and agree to the Privacy Policy, Terms & Conditions, SMS Terms of Service, FCRA Authorization, TCPA Consent, Electronic Consent Disclosure, Conditional Approval Notice, Consumer Protection Notices, and all related financing disclosures.

By submitting this application, you acknowledge and agree to our Privacy Policy, Terms & Conditions, SMS Terms of Service, Financing Disclosures, and Consumer Notices.

Feldman Auto Sales

1606 N Carver St

Greensburg, IN 47240

(812) 663-2886