Apply for Credit

Please fill out the Credit Application Below

Limo Land 1903 N. Barnes Avenue Springfield, MO. 65803 Ph# 417-866-6565 Fax #417-866-6142
Business Information
Legal Business Name *
Legal Business Name
President/Owner Name *
President/Owner Name
Street Address *
Street Address
Phone # *
Phone #
Fax #
Fax #
Date of Incorporation
Date of Incorporation
Business Start Date
Business Start Date
Please select
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Company Principals/Guarantor Signature Information
Name *
Name
Home Address
Home Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Date of Birth *
Date of Birth
Please select below
Please place amount of additional income below ex: $3,000 monthly, or $36,000 yearly
Additional Owner(s) Information
Name
Name
Home Address
Home Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Date of Birth
Date of Birth
Please Select Below
Please place amount of additional income below ex: $3,000 monthly, or $36,000 yearly
Comparable Borrowing Reference
Vehicle 1
Lender Phone Number
Lender Phone Number
Vehicle 2
Lender Phone Number
Lender Phone Number
Vehicle 3
Lender Phone Number
Lender Phone Number
Business Bank Information
Bank Contact
Bank Contact
Phone Number *
Phone Number
Type Of Relations *
Check One Below
Date Opened
Date Opened
Vehicle To Be Finance / Terms Requested
Type dollar amount
Type Months Requested
Please Sign Below
Acknowledgement *
By typing your name in the box below, you are electronically signing this form. The undersigned certifies that the above information given for credit purposes is true and correct and authorizes Auto Funding Corp., (or assigns) and any credit bureau or investigative agency too investigate the references, statements, or other data listed accompanying this application. The undersign authorizes all parties contacted to release credit and financial information requested as part of said investigation. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applications on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract) because all or part of the applicant's income derives from any public assistance program, or because the applicant has in good faith excercised any right under the Consumer Credit Protection Act.
Applicant Signature #1 *
Applicant Signature #1
Please type name below.
Applicant Signature #2
Applicant Signature #2
Todays Date *
Todays Date