Credit Application

First Name:

Initial:

Last Name:

Street Address:

Apt No.:

City:

State:

Zip Code:

Years @ Address:

Months @ Address:

Rent or Own:

Rent Amount:

Birth Date:

Social Security#

License Number / State:

Cell Phone Number:

Home Phone Number:

e mail address:

Employer:

Job Title / Position:

Employer Phone #:

Gross Monthly Income:

Gross is the amount paid before taxes are deducted.

Years on job:

Months on job:

Desired Down Payment:

Desired Monthly Payment:

Do you have a checking account:

Desired Vehicle:

Electronic Signiture: By clicking submit you agree that all information is true
and correct. You also agree to allow Leon Dowdy & or his agents to apply
for financing & share your information as necessary to do so on your
behalf. You also understand that this is not binding agreement and are
also agreeing to the aforementioned terms & conditions on this page. Final
terms of approval are set by the actual lending institution.

This is a generic application. More information may be required at delivery.

By filling out the form below I am agreeing to allow LeonDowdy.com aka Leon Dowdy & or his appointed agents to apply for
financing / credit with their associated affiliates on my behalf. This is not a binding contract for either party and simply
facilitates pre-approval for the sake of my time & convenience. By clicking the submit button below I am stating that all of
the information contained within is true & correct and I am authorizing Leon Dowdy & or his agents to investigate my credit
for the sake of purchasing an automobile.

AUTOMOBILE INSTALLMENT LOAN APPLICATION