CREDIT APPLICATION Dealer: CHEEMA AUTOCheck Appropriate Boxlf you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, complete Sections A and C.lf this is an application for joint credit with another person, complete all Sections, providing information in Section B about the joint applicant. We intend to apply for joint credit.lf you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all sections to the extent possible, providing information in Section B about the person upon whose alimony, support, or maintenance payments or income or assets you are relying.Amount RequestPayment Date DesiredProceeds of Credit to be Used forSection A - Applicant InformationFull NameE-mailSocial Security NoDriver's License NoStateBirthdateCurrent Street AddressHow long?CityStateZipPhone(H)Phone(C)Housing StatusMonthly Rent/MortgageLandlord/Mortgage HolderLandlord PhonePrevious Street AddressHow long?CityStateZipMonthly Rent/Mortgage at Previous AddressEmployment StatusSalaryIncome typeSelectW2Self EmployedSelf Employed BusinessTurbo PassFixed IncomeCash IncomeMilitaryCurrent EmployerPhoneHow long?Position/OccupationEmployer AddressPrevious EmployerHow long?Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.Other lncomeSource of other incomeIncome typeSelectW2Self EmployedSelf Employed BusinessTurbo PassFixed IncomeCash IncomeMilitaryReferenceRelationshipPhoneAddressBank ReferencePhoneCheckingSavingsSection B - JOINT APPLICANT OR OTHER PARTY INFORMATIONRelationship to ApplicantE-mailSocial Security NoDriver's License NoStateBirthdateCurrent Street AddressHow long?CityStateZipPhone(H)Phone(C)Housing StatusMonthly Rent/MortgageLandlord/Mortgage HolderLandlord PhonePrevious Street AddressHow long?CityStateZipMonthly Rent/Mortgage at Previous AddressEmployment StatusSalaryIncome typeSelectW2Self EmployedSelf Employed BusinessTurbo PassFixed IncomeCash IncomeMilitaryCurrent EmployerPhoneHow long?Position/OccupationEmoloyer AddressPrevious EmployerHow long?Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.Other lncomeSource of other incomeIncome typeSelectW2Self EmployedSelf Employed BusinessTurbo PassFixed IncomeCash IncomeMilitaryReferenceRelationshipPhoneAddressBank ReferencePhoneDriving LicenseChoose FileNo file chosenDelete uploaded fileUtility billChoose FileNo file chosenDelete uploaded file3 Month Bank StatementDrag and Drop (or) Choose FilesCheckingSavingsACKNOWLEDGMENT AND CONSENTI certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.ACKNOWLEDGMENT AND CONSENTI hereby consent to receive text messages or phone calls from or on behalf of the dealer or their employees to the mobile phone number I provided above. By opting in, I understand that message and data rates may apply. This acknowledgement constitutes my written consent to receive text messages to my cell phone and phone calls, including communications sent using an auto-dialer or pre-recorded message. You may withdraw your consent at any time by texting "STOP".Submit Application
