CUMBERLAND AUTO SALES

Credit Application

Select Application Type :

Individual Joint

Vehicle of Interest

Purchase Information

Finance or Lease

Finance Lease

Lease Miles / Year

Down Payment

Monthly Payment

Amount to Finance

Amount

Trade-in

Do you Have a Trade-in?

Yes No

Model

Mileage

Payoff

Notes

Applicant Personal Information

Please, enter your personal information.

First Name

Last Name

Home Phone

Contact Phone

Email Address

Date of birth

SSN (only 9 digits)

Driver’s License Number

Driver’s License Expiration Date

Co-Applicant Personal Information

Please, enter the Co-applicant personal information.

First Name

Last Name

Home Phone

Contact Phone

Email Address

Date of birth

SSN (only 9 digits)

Driver’s License Number

Driver’s License Expiration Date

Applicant Residence

Please, enter your current residence information.

Address

City

ZIP

Your Monthly Rent/Mortgage Payments

Applicant Mother's Maiden Name

Co-Applicant Residence

Please, enter the Co-applicant current residence information.

Address

City

ZIP

Your Monthly Rent/Mortgage Payments

Applicant Mother's Maiden Name

Applicant Employment Information

Please, enter your current employment information.

Job Title

Employer

Employer Phone Number

Address

City

ZIP

Gross Salary

Last pay day

Next pay day

Please, enter your employment information for up to 2 years.

Job Title

Employer

Contact Phone

Address

City

ZIP

Gross Salary

Applicant Additional Income Information.

Amount

Source

Co-Applicant Employment Information

Please, enter the Co-application current employment information.

Job Title

Employer

Employer Phone Number

Address

City

ZIP

Gross Salary

Last pay day

Next pay day

Please, enter the Co-applicant employment information for up to 2 years.

Job Title

Employer

Contact Phone

Address

City

ZIP

Gross Salary

Applicant Additional Income Information.

Amount

Source

Applicant Personal Reference Information

Please, enter your personal reference information.

First Name

Last Name

relationship

Contact Phone

Home Phone

Email Address

Address

City

ZIP

Co-Applicant Personal Reference Information

Please, enter the Co-application personal reference information.

First Name

Last Name

relationship

Contact Phone

Home Phone

Email Address

Address

City

ZIP

Applicant Relative Personal Information

Please, enter your applicant relative personal information.

First Name

Last Name

Cell Phone

Work Phone

Email Address

Relationship

Address

City

ZIP

Co-Applicant Relative Personal Information

Please, enter the Co-applicant relative personal information.

First Name

Last Name

Cell Phone

Work Phone

Email Address

Relationship

Address

City

ZIP

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