Financing Application

Important: Please complete as many fields as possible
so that we may expedite your application.

Required Fields *

Personal Information:

First Name: *  
Last Name: * 
Middle Initial: *  
Email: *  
Birthdate: *   Ex. 01-01-1980
Social Security Number: *   Ex. 123-45-6789
Home Phone: *   Ex. 702-555-1212
Cell Phone:   Ex. 702-555-1212
Address: *  
City: *  
State: *  
Zip Code: *  
Time at Residence: *   Years


Residence Type: *  
Rent/Mortgage: * $

Employment Information:

Employment Status: *  
Your Employer: *  
Job Title: *  
Employer Phone: *   Ex. 702-555-1212
City: *  
State: *  
Zip Code: *  
Time on Job: *   Years


Gross Monthly Income: * $
Other Income Source:  

Please note: 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 Gross Income: $

Amount Available for

 Down Payment: *


Additional Comments:

(If Known, Please Mention Particular Vehicle Desired, Etc.)

CONSENT/ACKNOWLEDGEMENT: I do hereby certify that the above information is complete and accurate to the best of my knowledge and understanding. Creditors receiving this application including Spring Valley Auto Sales will retain the application whether or not it is approved. Creditors and/or Spring Valley Auto Sales 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 or with any contract I may enter unto. If this application is approved, I authorize the creditor and/or Spring Valley Auto Sales to give credit information about me to its affiliates and partners.

Print Name for Electronic Signature: *