Financing Application

Buy here pay here · Beach Bum Used Auto Sales

Private financing application

Vehicle of interest

1. Applicant information

Application dateSalespersonFull legal name *Date of birthSocial Security numberDriver’s license numberDriver’s license statePhone number *Email addressCurrent street addressCityStateZIP codeTime at current addressMonthly rent / mortgage ($)Previous address (if at current address less than 2 years)

2. Employment & income

Employer nameEmployer phoneJob titleTime employedGross monthly income ($)Other income (optional) ($)Source of other income

3. References

Reference 1

NamePhone numberRelationship

Reference 2

NamePhone numberRelationship

Reference 3

NamePhone numberRelationship

4. Vehicle & proposed financing

Vehicle yearMakeModelStock numberVehicle selling price ($)Down payment ($)Amount to finance ($)Preferred payment schedule

5. Applicant certification & authorization

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that incomplete or inaccurate information may affect the review of my application. I authorize Beach Bum Used Auto Sales to verify information provided in this application, including employment, income, and residence information, as permitted by law.

I certify the information above and authorize verification. *

I separately authorize Beach Bum Used Auto Sales and its designated financing parties to obtain and use my consumer credit report to evaluate this application, to the extent permitted by applicable law. I understand that submitting this application does not guarantee financing, approval, or delivery of a vehicle.

I separately authorize a consumer credit report.

Applicant signature (type full name) *Date *Printed name *

6. Office use only

Application statusApproved down payment ($)Approved payment ($)Payment frequencyManager signatureDateStock number

Important notice: All financing is subject to approval and a separate written retail installment contract. This application is not a credit agreement or a promise to finance. Additional disclosures and authorizations may be required by applicable law. Keep personal and financial information secure and collect only information needed for the application.