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City Auto Finance Credit Application

SERVICE AREA NOTICE: City Auto Finance is a dedicated automotive finance provider servicing Mississippi, Alabama, Georgia, Tennessee, Florida panhandle, Arkansas and Kentucky. If you are outside of our service area, please contact us at 615-224-2005 before filling out this credit application.

Owner / Officer

Owner Name *

Owner Title *

Owner Home Address *

Owner City *

Owner State *

Owner Zip *

Owner Location *

Own

Rent

Owner Phone *

Owner E-mail *

Owner Birth Date *

Month

Day

Year

Owner SSN *

Owner Driver's License *

Owner Driver's License State *

Owner Driver's License Expire Date *

Month

Day

Year

Co-Owner / Officer

Co-Owner Name

Co-Owner Title

Co-Owner Home Address

Co-Owner City

Co-Owner State

Co-Owner Zip

Co-Owner Location

Own

Rent

Co-Owner Phone

Co-Owner E-mail

Co-Owner Birth Date

Month

Day

Year

Co-Owner SSN

Co-Owner Driver's License

Co-Owner Driver's License State

Co-Owner Driver's License Expire Date

Month

Day

Year

Retail Finance Sources

Retail Finance Sources Name 1

Retail Finance Sources Name 2

Retail Finance Sources Name 3

Auction References

Auction References Name 1

Auction References Phone 1

Auction References Name 2

Auction References Phone 2

Auction References Name 3

Auction References Phone 3

Other Creditors

Other Creditors Name 1

Other Creditors Phone 1

Other Creditors Name 2

Other Creditors Phone 2

Floorplan Sources

Floorplan Sources Name 1

Floorplan Sources Phone 1

Floorplan Sources Credit Limit 1

Floorplan Sources Credit Balance 1

Floorplan Sources Year Obtained 1

Floorplan Sources Name 2

Floorplan Sources Phone 2

Floorplan Sources Credit Limit 2

Floorplan Sources Credit Balance 2

Floorplan Sources Year Obtained 2

How did you hear about us?

I hereby certify the information within this application is true, complete, and accurate. I authorize CAF to obtain credit information from a credit bureau, and any financial institution or trade creditor that I have provided as well as any other credit investigation that CAF in CAF's sole discretion deems necessary. I also authorize CAF to contact any third parties and to disclose information, including information contained in this application, for the purpose of, among other things, obtaining intercreditor agreements and perfecting CAF's security interest.

By typing your name(s) in the box(es) below, you agree to the terms above.

Owner / Officer

Terms Owner Name *

Terms Owner Title *

Terms Owner E-mail *

Terms Owner Date *

Month

Day

Year

Co-Owner / Officer

Terms Co-Owner Name

Terms Co-Owner Title

Terms Co-Owner E-mail

Terms Co-Owner Date

Month

Day

Year

City Auto Finance Credit Application

Credit Request

Company Information

Business Profile

Owner / Officer

Co-Owner / Officer

Retail Finance Sources

Auction References

Other Creditors

Floorplan Sources

How did you hear about us?

Owner / Officer

Co-Owner / Officer

CITY AUTO FINANCE

Branch Locations

Corporate Office