| |
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.
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.
|
|