Credit Application If you are interested in a vehicle we have for sale and would like to apply for financing please fill out the form below and we will get back to you as soon as possible. Please fill in your information carefully and accurately to insure a speedy response. Personal Information: First Name: Last Name: Date of Birth: SSN: Street Address: City: State: Zip Code: Phone Number: E-mail: Employment Information: Employer: Street Address: City: State: Zip: Phone Number: Trade/Occupation/Position: Gross Monthly Income: Time Employed: Housing: BuyingOwnRenting Trade-In Information: Year: Make: Model: Mileage: Pay Off: Vehicle Applied For: Which Vehicle(s)?: Down Payment: Contact Method: Prefered Contact Method: I have read the entire application, agree to its terms, and certify the information is correct. I also hereby authorize Select Motorcars, Inc. to check my credit and employment history.