Credit Application

Financial Services

Consumer Credit Application

Applicant Information
Name	Last First
Address	Street City ST Zip
Contact	Home Phone E-mail address (address will be verified)
Other	Date of Birth Social Security No.
Employer Name	Phone
Occupation	Years of Service Gross Ann. Income $

Financing Information
Vehicle Preference	Pre-Owned Year(s)
Contract	Lease Purchase
Trade-In Vehicle	Make, Model, Year Mileage
Trade-in Value	Bal. Owed $ Additional Cash $
Previous Contract	Lease Purchase
Creditor Name	Monthly Payment $

Joint Application Information
Name	Last First
Address	Street City ST Zip
Contact	Home Phone E-mail address (address will be verified)
Other	Date of Birth Social Security No.
Employer Name	Phone
Occupation	Years of Service Gross Ann. Income $

Verification and Authorization
Everything stated in this application is correct to the best of my knowledge. I also understand that the creditor will retain this application whether or not it is approved. I understand that the creditor will rely on this application in deciding whether to grant the requested credit. I authorize the creditor to check my credit and employment history. If this application is approved, I also authorize the creditor to give the information about its credit experience with me to others.
Please type the following words in capital letters into the box below: I AGREE

Two Full-Service Land Rover Centres in New Mexico

8:00a - 6:00p Mon - Sat (Closed Sunday)

Albuquerque:
Alameda Blvd. just west of I-25
Telephone: 505 797- 3600
Facsimile: 505 797- 7085

Santa Fe:
2582 Camino Entrada
Telephone: 505 474-0888
Facsimile: 505 474- 0142