Please Print, Fill out, and fax to 1-805-481-3678
LAST NAME______________ FIRST_________________ INITIAL___
BIRTHDATE____ ____ _______ DRIVERS LICENSE#_____________
ADDRESS___________________________ CITY_________________
STATE_____ ZIP_________ HOME PHONE_______________
HOW LONG AT THIS ADDRESS____YRS ___MOS.
OCCUPATION OR RANK______________ PRESENT EMPLOYER___________
ADDRESS___________________________ CITY_________________
STATE_____ ZIP_________ PHONE_______________
HOW LONG AT THIS POSITION____YRS ___MOS.
GROSS MONTHLY INCOME FROM EMPLOYMENT $____________________
DO YOU OWN OR RENT?____________ MONTHLY PAYMENT AMOUNT $_______
APPLICANT'S SIGNATURE_______________________ DATE___________
Please call 1-805-481-3676 if you have any questions.
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Grand Auto Sales
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