Credit ApplicationPlease fill out all required fields accurately. Name * First Name Last Name Middle Name Email * Social Security # * Cell Phone * (###) ### #### Birth Date * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Residential Status * Own Rent Family Other Time at Address * If less than 2 years, please fill out previous address below. Less Than 1 Yr 1 2 3 4 5 6 7 8 9 10+ Rent/Mortgage Pmt $ * $ Previous Address Only if less than 2 years at current address Address 1 Address 2 City State/Province Zip/Postal Code Country Time at Previous Address 1 2 3 4 5 6 7 8 9 10+ Employer Name * If self employed, please list business name. Salary * Income before taxes $ Listed Salary Period * Weekly Bi-Weekly Monthly Annual Occupation/Job Title * Length of Employment * If less than 2 years, please fill out previous below. Under 1 Yr 1 2 3 4 5 6 7 8 9 10+ Work Phone * (###) ### #### Previous Employer Name If current employer less than 2 years Length of Employment (Previous) Under 1 Yr 1 2 3 4 5 6 7 8 9 10+ Comments Signature * Consent & Authorization:By submitting this application, you authorize Shift Auto and its participating dealer partners to access your personal credit information (e.g. credit reports, scores, payment history) from one or more consumer reporting agencies for credit evaluation purposes. You understand this may involve a credit inquiry on your consumer report. First Name Last Name Your Credit information has been submitted. Thank you!
