To protect your important Information this is not an online application, but it will reduce your paperwork greatly. Please fill out this form, print it, and fax to 603 474 8883or bring it with you. We will be able to pre approve you and will respond as soon as possible. Thank You
Auto Loan Request
Amount Requested:
Type of Application: Individual Applicant Joint Applicant
Term Requested:
24 mos. 36 mos. 48 mos. 60 mos. Other
Year of Vehicle
Make
Model
Purchase Price
Down Payment
Finance Amount
Dealer Name: RED HOUSE AUTO SALES LLC
Trade-In Yes No
Creditor of Trade-In
First Name
Middle Initial
Last Name
Date of Birth
Social Security No.
No. of Dependents
Driver's License No.
Driver's License State
Your E-mail Address
Home Phone
Best Time To Call
Work Phone
Your Primary Residence:
Own with Mortgage Own Clear Rent Other
Present Street Address
City
State
Zip
Years At Present Address
Your Monthly Rent or Mortgage Payment
Years At Previous Address
Your Previous Address
Employed Self-Employed Retired Unemployed Student
Your Present Employer
Phone
City
State
Zip
Gross Monthly Salary
Your Positon
Years There
You do not have to list alimony, child support or separate maintenance income unless you want us to consider it for the purposes of granting and repayment of this credit request.
Other Monthly Income
Source of Other Income
Previous Employer
(if less than 3 years at current employer)
Years at
Previous Employer
Name of Your Bank/CU
First Name
Middle Initial
Last Name
Date of Birth
Social Security No.
No. of Dependents
Driver's License No.
Driver's License State
Your E-mail Address
Home Phone
Best Time To Call
Work Phone
Your Primary Residence:
Own with Mortgage Own Clear Rent Other
Same as above
Present Street Address
City
State
Zip
Years At Present Address
Your Monthly Rent or Mortgage Payment
Years At Previous Address
Your Previous Address
Employed Self-Employed Retired Unemployed Student
Your Present Employer
Phone
Street Address
City
State
Zip
Gross Monthly Salary
Your Positon
Years There
You do not have to list alimony, child support or separate maintenance income unless you want us to consider it for the purposes of granting and repayment of this credit request.
Other Monthly Income
Source of Other Income
Previous Employer
(if less than 3 years at current employer)
Years at
Previous Employer
Street Address
City
State
Zip
Name of Your Bank/CU
Applicant(s) Statement I/We have completed this request for credit in consideration of a loan to me and/or others upon my guarantee. I/We certify that all information contained herein is accurate and complete to the best of my knowledge.
I/We authorize you to retain property of this application, to rely on the foregoing, to check and verify my credit, employment and salary history, to secure follow up credit reports concerning my credit worthiness and to exchange information about my account with proper persons, creditors and credit bureaus.
I authorize my employer (present and future), bank and other references listed above to release and/or verify information at any time. I acknowledge that this application is subject to approval of credit and acceptance. Should my request for credit and subsequent loan be approved, I agree to give written notice immediately upon change of my name, address, employment or any other pertinent information contained herein.
SIGNATURE APPLICANT ______________________________ DATE _______
SIGNATURE CO-APPLICANT _____________________________ DATE _______
