Please Print and Fill out the credit application below .Complete ALL information and Fax it to us

CREDIT APPLICATION

Hamilton Avenue Auto Sales

Fax: (718) 499-0877

Phone: (718) 788-5900

Buyer ____ Co-Signer ____ STOCK #: _________ YEAR: ______ MAKE: ___________ MODEL: __________________

LAST NAME

FIRST NAME

DATE OF BIRTH

SSN

HOME ADDRESS

CITY/STATE

APT

ZIP CODE

HOME PHONE

YEARS AT HOME ADDRESS

LIVING WITH

NO. OF DEPENDENTS

CELL PHONE

LANDLORD OR MORTGAGE HOLDER

OWNS __ RENTS __

RENT OR MORTGAGE PAYMENT

PREVIOUS HOME ADDRESS

YEARS THERE

EMPLOYER

EMPLOYER’S ADDRESS

CITY/STATE

ZIP CODE

PHONE#

EXT#

YEARS ON JOB

POSITION

ANNUAL SALARY

SUPERVISOR

PREVIOUS EMPLOYER NAME AND ADDRESS

YEARS THERE

I have completely and correctly answered all of the questions on this application and understand that Hamilton Ave Auto Sales will rely on the

answers given. During the review of my application, Hamilton Ave Auto Sales may obtain a credit report on me, and if my application is approved,

Hamilton Ave Auto Sales may at any time in the future obtain any additional processed by and remain the property of Hamilton Ave Auto Sales.

By signing this application, I authorize my employer to release personnel employment information regarding my tenure; salary,

occupation, and garnishee record (if any) to Hamilton Ave Auto Sales. I understand that my employer’s reply will be held in confidence and

without liability to my employer. I also authorize you to release to third party any information disclosed on this application, and my

transactions with you.

APPLICANT MUST SIGN HERE >>>______________________________________________________________________________________