Carlson Service & Sales Loan Application Form

Please complete this quick form and you will hear back from us in less than 24 hours!

1Applicant Info > 2Applicant Info > 3Vehicle Info
Welcome! How are you applying today?

Welcome! How are you applying today? I am applying by myself I have someone applying with me and we are both applying now. I am cosigning for someone who has already completed an application.

Please indicate if you are applying for a loan for yourself only, applying for a loan with 2 people, or applying to cosign for someone who has already filled out a credit application with AppCore.
Who are you cosigning for? Please provide first and last name of the other person.
What dealership is the vehicle you are wanting to purchase at?
Please select which AppCore finance manager you are working with or were referred to.
---- Personal Information ----
Name Name First Middle Last
Email
Date of Birth Date of Birth / MM / DD YYYY
Social Security Number or ITIN
Must be 9 digits. Currently Entered: 0 digits.
This form is 100% secured by: GeoTrust
Primary Phone Number Primary Phone Number - ### - ### ####
Current Address (Please include apartment, condo, lot, or unit numbers) Current Address (Please include apartment, condo, lot, or unit numbers)
Street Address City State / Province / Region Postal / Zip Code
Residence Type
Monthly Rent or Mortgage Payment

Rent or Mortgage payment each month (excluding utilities)
At Current Address Since:
(Enter Date) At Current Address Since:
(Enter Date) / MM / DD YYYY

If Less Than 2 Years, please complete "Previous Address" information below
Previous Address / Residence
(*Required if time at Current Address is Less than 2 years) Previous Address / Residence
(*Required if time at Current Address is Less than 2 years)
Street Address City State / Province / Region Postal / Zip Code
Length of Time at Previous Address

How long did you live at your previous address?
Drivers License Number
Drivers License State
Drivers License Exp. Date Drivers License Exp. Date / MM / DD YYYY
---- EMPLOYMENT INFORMATION ----
Current Employer Name. If you are retired, please indicate "Retired"
Current Employer Address. Current Employer Address.
City State / Province / Region
Current Business Phone Current Business Phone - ### - ### ####

Business phone number for your employer.
Current Occupation

What is your job title?
Income Type

Income Type I am paid per hour I am salaried I am retired and collect fixed monthly income

Select one
How many hours do you work each week?

How many hours do you work per week? Hourly employees only
How much do you get paid per hour?

How much are you paid per hour? Hourly employees only.
What is your annual salary (before taxes)? If you are retired, enter your monthly gross income.

Please enter the amount of your annual salary.
Start Date with Current Employer or start date of retirement. Start Date with Current Employer or start date of retirement. / MM / DD YYYY

If Less Than 2 Years, please complete "Previous Employer" information below
Previous Employer Name
(*Required if with Current Employer for Less than 2 Years)

Please complete if you have been at current job for less then 2 years.
Length of Employment at Previous Employer

How long did you work at your previous job?
Do you have any additional income you would like to add? (SSI, Disability, 2nd Job, etc)

Do you have any additional income you would like to add? (SSI, Disability, 2nd Job, etc) Yes No
Additional Monthly Income Amount (2nd Job, SSI Income, Disability, etc)

Amount you receive in additional income each month
Source(s) of Other Monthly Income (2nd Job, SSI Income, Disability, etc)

Carlson Service & Sales Loan Application Form

Carlson Service & Sales Loan Application Form

---- Personal Information ----

---- EMPLOYMENT INFORMATION ----