Financing:  Golden Cars Credit Application

The staff at Golden Cars is ready to assist you in the purchase of a new vehicle TODAY! Please take a moment to fill out this online credit pre-application, and we will begin the process.  Someone will contact you when we have reviewed your application.  Thank you for choosing Golden Cars Auto!

*Vehicle NameEnter the name of the car you want, make, model, year, etc. This is a required entry.
Purchase Timeframe  
Lease or Purchase  
*Amount DownSpecify the amount you are willing to put down - this is a required entry; enter 0 (zero) if you cannot put any money down at this time.
Mr. Mrs. Ms.
*Full Name
*Email
*Verify Email
*Daytime Phone
( )   -
Evening Phone
( )   -
Cellular Phone
( )   -
*Address
*City *State   *Zip
Preferred Contact  
*Date of Birth (mm/dd/yy)
*Social Security Number
*Driver's License Number

RESIDENTIAL INFORMATION

*Residential Status  
*Lien Holder / Landlord Name
*Lien Holder / Landlord Address
*Monthly Rent or Mortgage
*Years at Present Address
*Full Previous AddressIf you have no previous residence, enter NONE
*Years at Previous AddressIf you have no previous residence, enter NONE

EMPLOYMENT HISTORY

*Self Employed?  
*Emloyer's Name
*Employer's Address
*Employer's Phone
*Your Title or Occupation
*Years of Service

ADDITIONAL INFORMATION

*Gross Annual Income
Sources of Other Income (alimony, child support, optional)
Annual Amount Of Other Income
*Your Bank's Name
*Types of Accounts Held  
*Number of Dependents
*Nearest Relative (not living with you)
*Phone
*Relationship
*Relative's Full Address
*Mother's Maiden Name

By pressing SUBMIT below, I certify that I am over 18 years of age and that all the information contained herein is correct. I acknowledge that I have reviewed the previous information regarding this form, and hereby submit this application for the purpose of securing credit and grant Golden Cars Auto, Inc. authorization to obtain consumer credit reports and gather employment history deemed necessary and appropriate. I also acknowledge that this application may be submitted to other financial institutions.