Online Credit Application

APLICACIÓN DE CRÉDITO

LR Auto Sales is a Buy Here Pay Here dealership that offers affordable financing to people with credit challenges, bad credit, or no credit.

Ready to start?/ Haga clic en sí para comenzar?

YES/ Si

NO/ No

Preferred language? *

English

Hablas español

What is your information?

First Name *

Last Name *

Phone *

Email *

Date of birth/ Cumpleaños *

Place of Residence

Street Address *

City *

State *

Postal code *

Do you Own, Rent, Live with Family, Other? *

Number of Years/ Months at Current Address *

Number of years living in the Birmingham area? *

SS# *

Driver's License # *

DL Expiration *

Have you declared bankruptcy in the last three years? *

Have you consulted with an attorney in the last 3 months about filing bankruptcy? *

Have you had a car repossessed or voluntarily turned in in the last 3 years? *

If yes, how many repos in the last 3 years? *

Do you or a family member have a current account with LR Auto Sales? *

Family Member With Vehicle From LR Auto Sales

Ok, a few more questions please.

Algunas preguntas más

How many miles do you estimate you drive each day? *

How often do you drive for Uber, Lyft, Door Dash, etc.? *

Do you own another vehicle? *

Work Information/ Información Laboral

How long have you been at your current job? Cuanto tiempo llevas en tu trabajo? *

Employer Name *

Employer Phone Number *

Employer Street Address *

Employer City & State *

Employer Zip Code *

You may complete the boxes below if you have another job or other income to report.

Prior or 2nd Employer Name

Additional Take Home Pay

Alimony, child support or other separate income need not be revealed if you do not wish to have this income considered as a basis for repaying this loan obligation.

Monthly Payments

Home/ Apartment *

Car Payments *

Power & Gas *

Phone Bill *

Vehicle Insurance *

Credit Card *

Water *

Food *

Entertainment *

Cable/ Satellite *

References- Relatives/ Parientes

Las 8 referencias DEBEN completarse para finalizar la solicitud

#1 Relative: Name, Relation, Phone Number, Time In Birmingham Area *

Relative 1 - # of years living in area *

#2 Relative: Name, Relation, Phone Number, Time In Birmingham Area *

#3 Relative: Name, Relation, Phone Number, Time In Birmingham Area *

#4 Relative: Name, Relation, Phone Number, Time In Birmingham Area *

References - Friends/ Amigos

#5 Friend: Name, Relation, Phone Number, Time In Birmingham Area *

#6 Friend: Name, Relation, Phone Number, Time In Birmingham Area *

#7 Friend: Name, Relation, Phone Number, Time In Birmingham Area *

#8 Friend: Name, Relation, Phone Number, Time In Birmingham Area *

Almost Done!

I understand that by signing this Loan Application I hereby permit LR Auto Sales, Inc. to access my EquiFax Credit Report. I understand the purpose is to verify my identity and the ultimate decision of the finance company is subject to a number of factors. LR Auto Sales, Inc. does not discriminate on the basis of age, gender, race, religious affiliation, mental or physical ability, veteran status, military obligation(s), or national origin.

Al yo firmar ésta aplicación de préstamo estoy autorizando a LR Auto Sales, Inc. de acceder mi Reporte de Crédito con Equifax. Entiendo que el motivo es para verificar mi identidad y la decisión final de la compañía financiera está sujeta a un número considerable de factores. LR Auto Sales, Inc. no discrimina base a edad, género, raza, religión, afilación, descapacidad mental o física, estadía de veterano, obligaciones militares, o su origen de nacionalidad.

I agree to the Privacy Notice, Terms and Conditions and I acknowledge I may be contacted by LR Auto Sales via phone, email, sms, text or voicemail. You can opt-out at any time reply STOP via text. I understand that I might not qualify depending on the prequalification criteria.

I agree to receive text messages, calls and emails from the business and agree to the terms and conditions. Acepto ser contactado.

SIGN HERE/ la firma *

Clear

This information is accurate to the best of my knowledge.

DATE *