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Secure Credit Application

Applicant Information

First Name:	Last Name:
M.I.	Date of Birth:	Month: Day: Year:
Telephone Number:	Social Security Number:

Current Address:

Street

City

State

Zip Code

How long did you live here?

Years

Months

Previous Address:

Street

City

State

Zip Code

How long did you live here?

Years

Months

Employment Information:

Employer Name:

Business Phone:

Street Address:

City

State

Zip Code

Position or Title:

Gross Monthly Income: $

How long have you worked here?

Years

Months

Other Sources of Income:

By electronically signing this credit application, I/we consent to Texas Auto Superstore/Finance Express (acting on behalf of Lender) using the information in this Credit Application to pull my/our credit report(s) and employment history. I/we consent to Texas Auto Superstore/Finance Express sharing this information with any Finance Express dealer and/or lender for purposes of consummating the purchase of a vehicle through Texas Auto Superstore/Finance Express.

Digital Signature

You must enter your full name below as your digital signature and approval to above terms.