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Looking for
financing or to merely to save some time? El Paso Honda
makes it easy!
Simply provide the requested information below. If
you prefer, you can print this form and fax it to us. |
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| Please
note - if you are or will have a co-signer. The co-signer
also needs to fill this form out. |
| If co-signer
- indicate person co-signing for: |
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| APPLICANT
INFORMATION |
| Last
Name |
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First Name |
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| Middle
Name |
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Date of Birth |
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| Social
Security # |
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| Drivers
License # |
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Drivers License State |
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| Home
Phone |
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Work Phone |
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| Alternate
Phone |
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Email Address |
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| Street
Address: |
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| Street
Address 2: |
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| City |
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State |
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| Zip |
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Lived there how long? |
yrs -
months |
| Residence
Status |
Own
Buying
Rent
Parents
Other
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| Monthly
Rent/Payment |
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| Previous
address if at above residence for less than three years |
| Previous
Address |
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| Previous
Address 2 |
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| Previous
City |
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Previous State |
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| Previous
ZIP |
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Lived there how long? |
yrs -
months |
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| Employment
and Income Information |
Note
- Alimony, child support or separate maintenance income
need not be revealed if you do not choose to have it considered
as a
basis for repaying this obligation. |
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| Employer
Name |
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Length of Employment: |
Yrs.
Mos. |
| Employer
Address |
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| Employer
City |
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Employer State |
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| Employer
Zip |
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Self Employed |
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| Occupation |
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Gross Monthly Income (before taxes) |
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| Previous
Employer if at above Employer for less than three years. |
| Previous
Employer |
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Previous Employment Length |
Yrs.
Mos. |
| Previous
Address |
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| Previous
City |
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Previous State |
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| Previous
Zip |
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Previously Self Employed |
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| Previous
Occupation |
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Previous Monthly Income |
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| Credit
and Debit Information |
| Bank
Reference |
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Checking Account
Savings Account |
| Do
you currently have a Mortgage? |
If yes - indicate monthly payment |
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| Mortgage
Creditor |
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Mortgage Balance |
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| Do
you currently have an automobile loan? |
if yes - indicate monthly payment |
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| Auto
Loan Creditor |
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Auto Loan Balance |
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| Do
you currently have any other loans? - if yes with who? |
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monthly Payment:
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| Other
Creditor |
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Other Loan Balance |
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| Has
any party to this application been the subject, or subject
to bankruptcy proceedings? |
Yes
No |
| if
yes - please explain circumstances. |
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| Has
any party to this application ever obtained credit under
a different name? |
Yes
No |
| If
yes - under which name? |
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| Had
a vehicle repossessed? |
Yes
No |
| If
yes - please explain circumstances. |
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| References |
| Nearest
Relative not living with you: |
| Name |
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Phone Number |
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| Address |
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| City |
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State |
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| Zip |
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Relationship to applicant |
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| Second
Reference |
| Name |
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Phone Number |
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| Address |
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| City |
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State |
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| Zip |
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Relationship to applicant |
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| Third
Reference |
| Name |
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Phone Number |
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| Address |
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| City |
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State |
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| Zip |
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Relationship to applicant |
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I
certify that the above information is true and correct to
the best of my knowledge. By signing below, I give authority
to the recipient of
this
Credit Pre-Approval Application Form to gather any necessary
credit and reference information on my behalf for the sole
purpose
of determining
credit worthiness. I recognize that by submitting this form
for credit pre-approval that I agree to the terms set forth
in
this
disclaimer. I understand that to complete the credit approval
process, I will need to visit the dealership in person. |
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| Signature |
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Date |
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All
customer information is protected by Title V of the Gramm-Leach-Bliley
Act, 15 U.S.C., Section 6801 through 6810, and the
Federal
Trade Commission's Regulation P, 16 C.F.R. Part 313, with
regard to the unauthorized distribution of non-public customer
information
to third parties for any purpose other than its intended
use. Whereas, by use of this form, customer acknowledges
that
any information
submitted may be utilized by recipient for its itended purpose.
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