NC Credit Approval

Credit application

Please fill out the following credit application, and submit it to us along with your authorization to run a credit check on your behalf. You give your authorization by checking the box at the bottom of the application under Authorization Information, and then clicking on the “Submit Application” button.

Please fill out all the fields on the application. The fields marked with * are required in order to help you secure a car loan. This information will not be shared with third parties, except as outlined in our Privacy Policy. You must review our Privacy Policy and agree to it in order to submit your application.

By submitting this application, you are giving LaFayette Ford permission to run a credit report on you and to contact you about a car loan.

General Information
First Name:
Middle Initial :
Last Name:
Home Phone:
Cell Phone:
E-mail Address:	(E-mail)
Date of Birth :	/ /
Social Security Number:	- -
Address:
City:
State:
Zip Code :
Time Spent at Address:
Residence Type:
If other, explain:
Monthly House Payment:
Employment Information
Employer's Name:
Work Phone:
Occupation/Title:
Monthly Income:
Employment Type :
Time Spent at Job:
Authorization Information
YES, I authorize you to check my credit report.
YES, I have filed bankruptcy in the past
YES, A Co-signer is available (if necessary)
By clicking the “submit” button below, you acknowledge that you have read our Privacy Policy and understand that you will be contacted either by phone or email by LaFayette Ford regarding an auto loan. Click here to view our Privacy Policy.

All referrals will be submitted to
LaFayette Ford of Fayetteville, NC

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