Finance – Giraffas Ventures

GIRAFFAS VENTURES LLC

Secure Loan Application

Loan Information

Desired Loan Amount:

Desired Monthly Payment:

Down Payment:

Personal

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Daytime Phone:

Evening Phone:

Fax:

Email:

Social Security Number:

Birthday:

Mortgage/Rent Payment (per month):

Time at Residence ( Years):

Own/Rent

Residence Type:

If you have lived at your current residence less than 3 years, please enter your prior address.

Which accounts are in your name:

Utilities Savings Checking Phone

Drivers Lic. #:

Drivers Lic. State (CA,NY, etc.):

Driver Lic. Exp. Date:

Employment

Employer Name:

Employer Address:

Employer City:

Employer State:

Employer Zip:

Business Phone:

Employment Status:

Occupation:

Time on Job (Years):

How often are you paid:

How much per paycheck (numbers only):

Other Income (per month):

Gross Yearly Income:

If you have been employed at your current job less than 5 years, please enter your previous employment history:

I accept these terms *

I agree that by submitting this application, I authorize you to give the dealership, as well as any potential financing source the dealership may select, my name, address, and other personal information to any credit reporting agency used to complete an investigation of my credit. By submitting this application, I certify that all information herein is true and complete. I agree I am providing this information to the dealer knowingly and authorize the dealer to provide this information and my credit application to the financial source as per the provisions of the dealer's privacy policy. If applicable, I hereby authorize the dealer, and any financial institution engaged to process this application, to obtain consumer credit reports on me and for any lawful purpose and credit history. By submitting this application, I authorize the above mentioned institutions and parties to obtain consumer credit reports on me personally and to gather employment history in order to determine financing eligibility.

Vehicle Information

Vehicle Make:

Vehicle Model:

Vehicle Year:

Vehicle Mileage:

Down Payment

Down Payment Amount:

Trade-In Details

Trade-in Make:

Trade-in Model:

Trade-in Year:

Trade-in Mileage:

Additional Comments: