EDWARDS USED CARS
211 Gilmer St.
Sulphur Springs, Texas 75482

CREDIT APPLICATION

Name: Primary Phone #: E-mail:
Present Address: City: State: Zip:
How long at this address: years months
Do you Rent Own Monthly Payment or Rent: $
Landlord/Mortgage Co.: Phone #:
Social Security #: Driver's License #: DL Expiration Date:
Date of Birth: Marital Status:

If you have been at your Current Address less than three (3) years, provide the following:

Previous Home Address: City: State: Zip:
How long at Previous Address: years months
Employed By: Phone #:
How long employed: years months
Job title:
Salary Gross Per Pay Period: $ Salary Net Per Pay Period: $
How often are you paid? Monthly Weekly Semi-Monthly Bi-Monthly
Paid by: Computer Check/YTD Printed Check Hand Written Check Direct Deposit Cash

If you have been at your current employer less than three (3) years, provide the following:

Previous Employer: Phone #:
How long employed: years months
Job title:

Alimony, child support, or separated maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying obligation.

Type of other income: Source: Income: $
Co-Signer/Spouse Name: Driver's License # Exp:
Social Security Number: Date of Birth: Primary Phone #:
Address: City: State: Zip:
How long at current address: years months
Does Co-Signer/Spouse: Rent Own Monthly Payment or Rent: $
Employed By: Phone #:
How long employed: years months
Job Title
Salary Gross Per Pay Period: $ Salary Net Per Pay Period: $
How often are you paid? Monthly Weekly Semi-Monthly Bi-Monthly
Paid by: Computer Check/YTD Printed Check Hand Written Check Direct Deposit Cash
Previous Employer if less than three (3) years with current Employer: Phone #:
Previous Employer Address: City State Zip
How long employed: years months
Job Title

References: Print Full Name

Name: Relationship: Phone #:
Address: City: State: Zip:
Name: Relationship: Phone #:
Address: City: State: Zip:
Name: Relationship: Phone #:
Address: City: State: Zip:
Name: Relationship: Phone #:
Address: City: State: Zip:
Name: Relationship: Phone #:
Address: City: State: Zip:
Name: Relationship: Phone #:
Address: City: State: Zip:
Have you ever filed for Bankruptcy? Yes No If yes, when?
Have you ever had a car or other merchandise repossessed? Yes No If so, when?
Banking Information: Name of Bank Phone #:
Address: City: State: Bank Zip:
Checking Account? Yes No Savings Account? Yes No

I certify that everything I have stated in this application is correct. You may keep this application whether or not it is approved. By signing below I authorize you to check my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at Edwards Used Cars' request if my financial condition changes.

Completing the signature box/es, below, is the same as affixing your signature to a paper document. Your electronic signature certifies that the information you provide on this application is accurate and true. By entering your name into the appropriate fields of an online application, you are legally signing the document.

 

Applicant Signature Date: I agree to all above: Yes No
Spouse Signature(if applying jointly) Date: I agree to all above: Yes No