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CREDIT AND FINANCING

(Sales Consultants:  Process as normal application)

 

Will you be applying for credit alone or with another person?
(Primary applicant and joint applicant must complete separate forms)
Primary Applicant      Joint Applicant

 
   
 

If Joint Applicant, Relationship to Primary Applicant:
Married Parent Other

 
   
 

Last Name: First Name: Middle Initial:
Junior Senior

 
   
 

Social Security Number: - -
Applicant's Date of Birth:
/ / Age:
Number of Dependents:

 
   
 

Current Address:
Street:

City:

State:
Zip:
Phone in Applicant's Home?
Yes No
Number: (Area Code) (
) -

Own Home Outright Buying Home
Living With Relatives Leasing/Renting Own/Buying Mobile Home

How long have you lived in your present location? Years:
Mos:
Rent or Mortgage Payment: $
per month

Name of Landlord or Mortgage Holder:

Address of Landlord or Mortgage Holder:
Street:

City:
State: Zip:

 
   
 

Previous Address (If less than 2 years at current address):
Street:

City:

State:
Zip:
How long did you live in your previous location? Years:
Mos:

 
   
 

High School Graduate? Yes No
Level of Education (for those applicants under age 27 only):
4-Year College Graduate 2-Year College Graduate
Special Training Some College

 
   
 

Name of Current Employer:
Address of Current Employer:
Street:

City:
State: Zip:
Applicant's Occupation (if military, state rank):

How long have you worked for this employer? Years:
Mos:
Work Phone Number: (
) -
Gross Salary: $
Weekly Monthly Yearly

 
   
 

Name of Previous Employer (If less than 5 years at current employer):

Previous Employer's Address:

City:
State: Zip:
How long did you work for this employer? Years:
Mos:

 
   
 

Name of Bank:
Checking & Savings Checking Only Savings Only No Account

 
   
 

Have You Ever Filed Bankruptcy? No Yes
If Yes, When? Month:
Year:

Is Applicant Obligated to Make Alimony, Child Support
or Separate Maintenance Payments?
No Yes
If Yes, Amount to Be Paid per Month is: $

*Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

 
   
 

*Source of Other Income:
*Other Income: $
Weekly Monthly Yearly

 
   
 

Special Notices

CALIFORNIA:

    APPLICANT, IF MARRIED, MAY APPLY FOR A SEPARATE ACCOUNT. For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained the age of majority. I authorize you to check my credit and employment history and to provide and/or obtain information about credit experience with me.

MAINE:

  • A Consumer Report may be requested in connection with this application for credit. Upon request, you will be informed whether or not a consumer report was requested, and, if a report was requested, you will be informed of the name and address of the consumer reporting agency that furnished the report.
  • For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. Applicant further certifies that I have attained the age of majority. Applicant authorizes you to check my credit and employment history and to provide and obtain information about credit experience with me.
  • If your credit application is approved and you finance the purchase of your motor vehicle through Jaguar Credit Corporation, you will be required to insure the vehicle against loss or damage. Jaguar Credit Corporation requires collision coverage, and comprehensive coverage or fire and theft coverage. In addition, if this application is for lease, Jaguar Credit Corporation will also require you to obtain liability insurance. Vehicle insurance may be obtained from a person of your choice.

NEW YORK:

  • A Consumer Report may be requested in connection with this application for credit or any future update, renewal, or extension of such credit. Upon request, you will be informed whether or not a consumer report was requested. If a report was requested, you will be informed of the name and address of the consumer reporting agency that furnished the report.
  • For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. Applicant further certifies that I have attained the age of majority. Applicant authorizes you to check my credit and employment history and to provide and obtain information about credit experience with me.

OHIO:

    THE OHIO LAWS AGAINST DISCRIMINATION REQUIRE THAT ALL CREDITORS MAKE CREDIT EQUALLY AVAILABLE TO ALL CREDIT-WORTHY CUSTOMERS, AND THAT CREDIT REPORTING AGENCIES MAINTAIN SEPARATE CREDIT HISTORIES ON EACH INDIVIDUAL UPON REQUEST. THE OHIO CIVIL RIGHTS COMMISSION ADMINISTERS COMPLIANCE WITH THIS LAW. For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained the age of majority. I authorize you to check my credit and employment history and to provide and/or obtain information about credit experience with me.

RHODE ISLAND:

  • A Credit Report may be requested in connection with this application for credit.
  • For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. Applicant further certifies that I have attained the age of majority. Applicant authorizes you to check my credit and employment history and to provide and obtain information about credit experience with me.
  • If your credit application is approved and you finance the purchase of your motor vehicle through Jaguar Credit Corporation, you will be required to insure the vehicle against loss or damage.

    Jaguar Credit Corporation requires collision coverage, and comprehensive coverage or fire and theft coverage. In addition, if this application is for lease, Jaguar Credit Corporation will also require you to obtain liability insurance. Vehicle insurance may be obtained from a person of your choice.

TENNESSEE:

    You must maintain insurance during the term of the contract. You must give the Creditor evidence of this insurance. The amount and type of insurance must be acceptable to the Creditor. YOU MAY CHOOSE THE PERSON THROUGH WHOM ANY INSURANCE IS OBTAINED.

WISCONSIN:

    MARITAL PROPERTY AGREEMENT NOTICE: No provision of any marital property agreement, unilateral statement under Section 766.59 Wisconsin Statutes Or Court Decree under Section 766.70 Wisconsin Statutes adversely affects the interest of Jaguar Credit Corporation unless Jaguar Credit Corporation, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to Jaguar Credit Corporation is incurred.

    STATEMENT OF MARITAL PURPOSE
    I have applied for credit from (Dealer)

    For the purpose of purchasing (Description Of Vehicle)
    .
    This Obligation (Select only one)
    is / is not Being incurred in the interest of my marriage or family.

    For the purpose of securing credit from you, I further certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained The Age of Majority. I authorize you to check my credit and employment history and to provide and/or obtain information about credit experiences with me.

FOR ALL OTHER STATES

    For the purpose of securing credit from you, I certify that the above information is true and complete to the best of my knowledge. I further certify that I have attained The Age of Majority.
    I authorize you to check my credit and employment history and to provide and/or obtain information about credit experiences with me.

WARNING: Falsification of your identification is fraud and will be prosecuted to the fullest extent of the law.

I acknowledge that I have read and understand the disclosures.
Signature: ______________________________   Date: __________

 
   
 

For Dealer's Use Only:

Dealer Name ______________________________________

Offering # ____________________

Application Type: ____ RETAIL ____ RCL ____ OTHER

(1) Cash Price/Cap Cost (Incl. tax, title, reg. fees) $ ___________ (1)

(2) Down Payment/Cap Cost Reduction:

Cash $ _________ + Rebate $ _________= $ ___________ (A)

Trade Allow. $ ___________ - Owed $ ___________ = $ ___________ (B)

Total of Line (2) (A+B) $ ___________ (2)

(3) Unpaid Balance/Acquisition Cost (1-2)______________________(3)

If RCL: MSRP $ ___________ /LEV $ ___________

(4) Payable in ___________ Mo. Installments of $ ___________ (4)

___ New ___ Used Year: _____ Make: ___________ Model: ___________

Body Style (If used vehicle): ___________ Used Car Miles: _______________

Vehicle Identification Number: ____________________

Stock #: ______________

Optional Equipment (If used vehicle): ____ Air ____ P/S ____ P/B ____ Auto Trans.

Other: _________________________

Trade: Year: ___________ Make: ___________ Model: ___________

Body Style: ___________

Thank you for completing the A.C. Imports Credit Internet Application.
Fax or mail this document to us for processing.