FILTER MOTORCAR CO
 3595 McCULLOCH BLVD.
LAKE HAVASU CITY, AZ. 86406
PHONE: 928-453-5050
FAX:                      
email: timelessautos@hotmail.com

This form not available at this time due to spammers. Please come in and fill out a credit application.

CREDIT APPLICATION

BY FILLING THIS OUT, WE WILL RUN YOUR CREDIT AND TRY TO GET YOU THE BEST LOAN POSSIBLE.     
AS LOW AS 4.9% APR

Individual Credit Joint Credit

TELL US WHAT KIND OF CAR YOU ARE LOOKING FOR AND FILL OUT THE APPLICATION BELOW

 

APPLICANT

NAME:
  ADDRESS:                                      
SOC. SEC. NUMBER 
                 DATE OF BIRTH  
DRIVER LICENSE  #  STATE
 PREVIOUS ADDRESS 
EMPLOYMENT NAME/ADDRESS :
          SELF           OTHER 
      TRADE OCCUPATION
      SALARY/WAGES

Co Applicant:

NAME:
  ADDRESS:
                          
SOC. SEC. NUMBER
                   DATE OF BIRTH 
 DRIVER LICENSE  # STATE
       PREVIOUS ADDRESS
 EMPLOYMENT NAME/ADDRESS :
 SELF          OTHER  
          TRADE OCCUPATION
          SALARY/WAGES

 

Enter your type of credit such as credit cards and loans:

           UNCHECK HERE FOR NOT OK TO RUN CREDIT FOR LOAN. 


I CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE AND TRUE AND COMPLETE. I AUTHORIZE AN INVESTIGATION OF MY CREDIT AND EMPLOYMENT HISTORY AND RELEASE OF INFORMATION ABOUT MY CREDIT EXPERIENCE. THE FINANCIAL INSTITUTION NAMED BELOW MAY BE REQUESTED TO PURCHASE A SALES FINANCE CONTRACT WRITTEN, IN CONNECTION WITH YOUR PURCHASE. YOU ARE NOTIFIED PURSUANT TO THE FAIR CREDIT ACT, THAT YOUR APPLICATION MAY BE SUBMITTED TO THEM.

Tell us how to get in touch with you:

Name
E-mail Co E-mail
Tel Co Tel     
FAX Co Fax    
Please contact me as soon as possible regarding this matter.

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Author information goes here.
Copyright © 1999 [FILTER MOTORCAR CO]. All rights reserved.
Revised: August 04, 2009 .