Print App

LimoDealer.COM Limos For Sale Print App Online App Limo Links Contact Us
Please feel free to print out this credit application and fax it to our offices at 630-628-8443 or copy it into your word processor and email it to us at  tony@LimoDealer.com

If you prefer to do an Online Application please use our Online Application Form that will be sent to us automatically.  We will begin reviewing your application promptly.

If you have any questions please contact us at 800-214-1254

You may also use our Contact Us form.  

woodrule.gif (1012 bytes)

Primary Applicant
Joint Applicant:
Application is for joint credit with primary applicant or a guarantor.
Primary applicant is relying on you for alimony, child support, or separate maintenance or on your income or assets as the basis for repayment of the credit requested.
If Joint Applicant, Relationship to Applicant:
Spouse Parent Other 
Last Name 
 First Name 
 M
Address 
 City 
State
 Zip Code
Phone Number w/ Area Code
Soc. Sec. No.
 # of Dep.
 Date of Birth
 Age
Own Home 
Buying Home		 Living with Relatives 
Leasing/Renting		 Mobile Home
       Own/Buying
Lived ThereYrs Mos.
Name of Landlord or Mortgage Holder
 Rent or Mtg. Pmt.
Address 
City 
 State
 Zip
Previous Address (if less than 2 years at present address)
 Lived There
YrsMos.
Current Employer 
City 
 State
 Zip
Applicant's Occupation
(if military, state rank) 
Time on Job
YrsMos		 Work Phone No. 

Gross Salary:

 Weekly 
Monthly
Annual
* Source of Other Income 

* 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.
*Other Income: 
 Weekly 
Monthly 
Annual
Previous Employer (if less than 3 years at current) 
City 
 State
 Time on Previous 
Yrs.
Name of Bank 
Bank Phone 

Contact 

 
 
Checking  Account Number 
Savings  Account Number 
Other Account Number 
No Account
Have you ever had a Car or Merchandise Repossessed? Yes 
No		 If Yes, When? Month
 Year
Have you ever filed Bankruptcy? Yes 
No		 If Yes, When? Month 
 Year 
Is Applicant Obligated to Make Alimony, Child Support or Separate Maintenance Payments? Yes No
If Yes, Amount to be paid per month is   $

Current/Previous Cars Financed by or Leased Through

Creditor's Name 
 Account Number 
City 
 State
 Zip
Date Opened 
 Monthly Pmt. 
 Unpaid Bal. 
Creditor's Name 
 Account Number 
City 
 State
 Zip
Date Opened 
 Monthly Pmt. 
 Unpaid Bal. 
Type of Vehicle to Purchase
Make 
 Coach Builder 
Year 
 Stock # 

woodrule.gif (1012 bytes)

 

LimoDealer.COM Limos For Sale Print App Online App Limo Links Contact Us
Copyright 1997 - 2007 LimoDealer.com

Hit Counter
since 6/13/00