Pre-Qualification Form

A credit report will be obtained in connection with application. I authorize Yonkers Avenue Autopark to investigate my credit based on the voluntary information provided by me, with is true and correct. Qualification is subject for approval from a primary lending institution.

Loan Information

*Amount Required:	*Loan Term:Choose A Term 36 Months48 Months60 Months
*Down Payment:	*Trade-in:YesNo

Desired Vehicle

Manufacturer:
Year:
Model:
Miles:
VIN Number:

Employment Information

*Employer:
*Occupation:
*Monthly Income:
*Time on Job:	Years 1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ Years Months 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months
*Business Phone:
*Address:
City:
State:	Zip:

Other Income

Source:
Monthly Income:

Contact Information

*Name:
*Email:
*Home Phone:	*Day Phone:
Fax:	Preferred Contact: Phone MorningPhone MiddayPhone EveningEmailFax
*Address:
City:
State:	Zip:

Applicant Information

*Soc. Sec. No.:
*Date of Birth	MM DD YY
*Residence Type:	OwnRent
*Monthly Payment:
*Time at Residence:	Years 1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ Years Months 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months

Additional Information

Message Text:

*These fields are required