Credit Application - Cima Motors

General information

First Name (required)

Last Name: (required)

Date of Birth:

Phone Number:

Fax Number:

E-mail Address:

Driver Lic. #:

Driver Lic. State:

Driver Lic. Exp. Date:

SSN:

Next of Kin:

Residential Address Information

Street Address:

Unit, Suite or Apt:

City:

State/Province:

Zip/Postal Code:

Time at Current: Years

Residence: Months

Previous Address Information

Street Address:

Unit, Suite or Apt:

City:

State/Province:

Zip/Postal Code:

Time at Current: Years

Residence: Months

Mailing Address

Street Address:

Unit, Suite or Apt:

If Different Than Residential Address (optional)

City:

State/Province:

Zip/Postal Code:

Housing Information

Primary Residence: OwnRentOther

Total Years You Have Been a Homeowner:
Estimated Monthly Housing Payments: $
Include all mortgages or rent, property taxes, homeowners fees, and insurance

Employment Information

Occupation:

Present Employer:

Business Phone:

Ext:

Street Address:

Mailstop Suite or:

Floor:

Description:

Liquid Assets / Income / Expenses

Liquid Assets: $
Total of checking, savings, money market, stocks, bonds, and mutual funds. Please do not include equity in your home, retirement monies, restricted stock or unvested options

Other Monthly Income: $:
Source of Other Monthly Income Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying your loan

Expenses & Liabilities: $:

Credit Score or Range: $:

Your Loan

Product Selected:

Type Selected :

Vehicle Make :

Vehicle Model:

Current Monthly Payment: $:

Loan Amount Requested: $:

Term in Months: $:

Down Payment: $:

Trade-in

Product Selected:

Vehicle Model:

Optional Financing Referral Service

We are committed to helping you finance your vehicle. In the event we are unable to provide you with a vehicle loan,we offer an optional service that could help you obtain financing.
Your financial application data or credit information will not be shared. We will forward only your intended make and model and contact information (name, address, phone number and e-mail address) to institutions who meet the criteria for your financing needs. YesNo

Billing Choice

Please choose Automated Payment Option or Invoicing Payment Option.

Automated Days

Invoicing Days

Special Instructions

Please note any special time or range of times which you desire us to contact you, if different from above. We can contact you at any time during our regular business hours.