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(251) 308-5419

Chuck Stevens Chevrolet, 2427 US-31, Bay Minette, AL 36507

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Finance Application

First Name, Middle Initial, and Last Name:*

Please list your Social Security Number:*

Birthday:*

Month

Day

Year

Phone Number:*

Email:*

Applicant Type:*

Residential Address: Please list your full address including City, State, & Zip Code*

Please list the years and months at your current address:*

If less than 2 years, please list previous address:

Please list your monthly rent or mortgage payment amount:*

Driver License Number:*

Driver License State:*

Please Select Your Income Source(s):*

Social Security

Disability

Employment

Retirement

Alimony

Child Support

Other Income Sources

Salary Type:*

Weekly

Bi-Weekly

Monthly

Annually

Down Payment Amount*

Desired Monthly Payment *

Loan Term:*

Please upload your Driver's License:*

Trade-In Information

Trade-In:

Please list the VIN of your trade:

Please list the mileage of your trade:

Please the color of your trade:

Employment:

Employer Name:

Employer Address:

Employment Type:*

Employed

Unemployed

Self-Employed

Military

Retired

Student

Other

Job Title:

Employer Phone Number:

Please list how many years and months you have been on your job:

If you have been with this employer for 1 year, please list previous employer:

Please list your monthly salary:*

Co-Applicant

First, Middle Initial, and Last Name:

Please list your Social Security Number:

Co-Applicant's Birthday (MM/DD/YYYY):

Email:

Phone Number:

Residential Type:

Residential Address:

If less than 1 year, please list previous address:

Please list the years and months at your current address:

Driver License Number:

Please list your monthly rent or mortgage payment amount:

Please list your monthly income:

Employment Type:

Employed

Unemployed

Self-Employed

Military

Retired

Student

Other

Employer Name:

Employer Address:

Job Title:

Employer Phone Number:

If you have been with this employer for 1 year, please list previous employer:

Previous Employer Address:

Previous Employer Phone Number:

Length of service with previous employer please list years and months:

Please list your monthly salary:

Salary Type:

Weekly

Bi-Weekly

Monthly

Annually

Please upload your Driver's License:

By Signing, you certify that the other income entered on this credit application is accurate.*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.

Roderick Mitchell - The Man With The Beard

Come see me at Chuck Stevens Chevrolet
2427 US-31, Bay Minette, AL 36507
(251) 308-5419

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