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 Credit Application

Century West BMW respects your privacy. The information gathered in this form is for the sole purpose of pre-qualifying you as you make the decision on your next vehicle. This information is kept secure at Century West BMW. The more complete this form is, the quicker we can help you finance you next vehicle.

Value Your TradesecureAll forms are processed through a https:// secure server to protect your privacy.

All fields with a * are required.

 Personal Information

First and Last Name : *

Date of Birth: Month: *Day: *Year: *

SSN: *- *- *

CURRENT RESIDENCE:
Rent Own Monthly rent/mortgage payment: $
How long at this address? year(s), month(s).
Street Address: *         Unit or Apt. Number:
City: State: Zip Code:
IF LESS THAN 2 YEARS, please list PREVIOUS RESIDENCE:
Rent Own Monthly rent/mortgage payment: $            How long at this address? year(s), month(s).
Street Address: *         Unit or Apt. Number:

City: State: Zip Code:

 
Home Telephone: ( ) -
Cell Phone Number: ( ) -
E-Mail Address: *

Employment Information

Employed By:
Work Tel.: ( ) - , Ext.
Street Address:
City: State: Zip Code:
Position with the company:
How long have you worked there?
year(s), month(s).
If less than 1 year with current employer, please list previous employer: How long did you work there?
year(s), month(s).
Gross Monthly Income:
$ (Before Taxes)

 Trade In Information

Make:        Model:
(Trade-in) Year:
Approximate amount owed on trade-in: $
Down Payment? $
Which vehicle are you interested in?
Year:
Listed Price: $

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