Credit Application – 1st Credit Auto Sales

Credit Application

Customer Information
Date*
MM slash DD slash YYYY
Name*
First Middle Last
Date of Birth*
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*
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*
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?
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 – 5:00
Saturday: 9:00 – 3:00