Credit Application

Print App

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

USA 1+ Phone: 847-985-1800

Fax: 847-985-1818

You may also use our Contact Us form.

	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

Address	City	State	Zip Code	Phone Number w/ Area Code
Soc. Sec. No.	# of Dep.	Age	Date of Birth

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
Yrs Mos.

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.