Cornelius Auto Sales Credit Application

Cornelius Auto Sales Credit Application

Personal Information

		Co-Applicant (Optional)
First Name
Last Name
Date of Birth
Social Security	- -	- -
Phone Number	( ) -	( ) -
Email
Street Address
City
State
Zip Code
Landlord
Landlord Phone
Rent Amount

Employment Information

		Co-Applicant (Optional)
Employer
Job Title
Net Mo. Salary $
How Long?	Years Months	Years Months
Phone Number	( ) -	( ) -

Trade-In Information

Year
Make
Model
Miles
Comments

I / We authorize Cornelius Auto Sales to obtain information from any source concerning this application for credit and any renewal or extension thereof.