Credit Application – 1st Credit Auto Sales

Credit Application

Customer Information
Date*
Date Format: MM slash DD slash YYYY
Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
SSN#*
Address*
Street Address City State ZIP Code
Phone*
Cell Phone
Email*
Enter Email Confirm Email
Move in Date for Current Address*
Date Format: MM slash DD slash YYYY
Landlord Name for Current Address
First Last
Landlord Phone
Mortgage or Rent Payment in $*
Please do not use a $ sign in the field above!
Employment & Income
Current Employer*
Address*
Street Address City State ZIP Code
Phone*
Start Date for Current Employer*
Date Format: MM slash DD slash YYYY
$/Hour*
Hours/Week*
How Often Do You Get Paid*
Utilities in Your Name*
Bank Name*
If you do not have a bank account, please enter "none".
Do You Have a Checking or Savings Account?*
Other Information
Have You Ever Had Merchandise Repossessed?*
Have You Ever Declared Bankruptcy in the Past Ten Years?*
If Yes to the Above, When Did You File?
Date Format: MM slash DD slash YYYY
If Yes to the Above, What Type of Bankruptcy Was Filed?

Contact Either First Credit Auto Location

Mason City: 721 South Monroe Avenue Mason City, Iowa 50401

Phone: (641) 423-5214

Hours: Monday – Friday: 8:00 – 5:30 Saturday: 8:00 – 4:00

Rochester: 1245 Eastgate Drive Southeast (On Marion Road) Rochester, Minnesota 55904

Phone: (507) 289-2115

Hours: Monday – Friday: 8:30 – 5:30 Saturday: 9:00 – 3:30