21st Century Credit Application

21st Century Motors Credit Application

Gross Weeks Income (before taxes) Year to Date on Pay Stub

Have you ever filed for bankrupcy?
yes
no
if yes when? / MM / DD YYYY
All the information given on this application is true, correct and complete. We or our assignee is authorized to exchange credit information covering this application and any credit granted. As part of the credit investigation process, we or our assignee may request a consumer report or commercial credit report in connection with this application for credit or any update, renewal or extension thereof. Upon request, we or our assignee will tell you whether or not a consumer report or commercial credit report was obtained and the name and address of the consumer reporting agency. I agree that we or our assignee may retain this application whether or not credit is approved. For purposes of securing credit and preparing documents, the signers agree and warrant that the above statements are true and correct. I certify that the above information is complete and accurate. I authorize an investigation of my credit and employment history and the release of information about my credit experience.
Do you agree to the terms above? Yes