Credit Application

Family Owned & Operated

Testimonials...

I never thought buying a car could be fun. They were all so nice and friendly. And I love my new car!

James...Ocean Springs

After my accident I just wanted it to be over. I found a nice car with a really good price. Easy and done.

Amy...Longbeach

Other places tried to lure me in with their so called financing. Now I am with a reputable bank. Thank you Coast auto sales!

Gina...Bay St Louis

Credit Application

Contact Information
Email Address
Last Name
First Name
Middle Name
Date Of Birth
Social Security Number
Drivers License Number
Present Address
Street Number
Street Name
Apartment Number or Lot Number
City
State
Zip Code
How Long Have You Lived There?
Years In Area
Monthly Payment
Home Phone Number
Cell Phone Number
Employment
Current Employer Name
Address
City
State / Zip Code
Work Phone
Military-List Rank
Job Title / Occupation
Gross Monthly Income
Length Of Time Employed
Previous Employer
Length Of Time Employed There?
Available Down Payment
Year, Make and Model Of Trade (If Any)
List Payoff Amount Of Trade
Which Vehicle Are You Interested In?

Co-Applicant Information
Last Name
First Name

Co-Applicant Must Complete This Form Separately

Any comments that you feel may help us secure financing, please post here.

READ THIS BEFORE SUBMITTING APPLICATION

ACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application may retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.

DO YOU UNDERSTAND AND AGREE TO THE ABOVE ACKNOWLEDGEMENT?

I authorize Coast Auto Sales to start a credit investigation based on the information voluntarily provided by me which is true and correct. A credit report may be obtained in connection with this application, for renewal or extension of credit for which this application was made. Upon request, I will be told if credit report(s) was/were obtained, and given the name and address of the credit reporting agency(ies) providing the report(s). A bankruptcy proceeding is not in progress nor expected.

DO YOU UNDERSTAND AND AGREE TO THE ABOVE PARAGRAPH?

Typing your name below constitutes your signature and authorizes the processing of this application

Signature of applicant

Date

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