Credit Application

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* Required Field

Application Type *

Personal Information

Applicant:

First Name *

Middle Name

Last Name *

Email Address *

Home Phone *

Work Phone *

Cell Phone *

Social Security #*

Date of Birth *

Driver's License # *

Driver's License Exp. Date *

Driver's License Issued In *

Marital Status

When should we contact you?

Co-Applicant

First Name *

Middle Name

Last Name *

Email Address *

Home Phone *

Work Phone *

Cell Phone *

Social Security # *

Date of Birth *

Driver's License # *

Driver's License Exp. Date *

Driver's License Issued In *

Marital Status

Employment Information

Applicant:

Employment Status *

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Previous Employer

Title / Occupation

Time at Employer - Years

Time at Employer - Months

Co-Applicant

Employment Status

Current Employer *

Title / Occupation *

Employer Address *

Employer Address Line 2

City *

State*

Zip Code *

Business Phone *

Time at Employer - Years *

Time at Employer - Months *

Gross Monthly Income *

Previous Employer

Title / Occupation

Time at Employer - Years

Time at Employer - Months

Residential Information

Applicant:

Current Address *

Current Address Line 2

City *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Previous Address

Previous Address Line 2

City

State

Zip Code

Status

Mortgage Payment / Rent

Time at Residence - Years

Time at Residence - Months

Co-Applicant

Current Address *

Current Address Line 2

City *

State*

Zip Code *

Status *

Mortgage Payment / Rent *

Time at Residence - Years *

Time at Residence - Months *

Previous Address

Previous Address Line 2

City

State

Zip Code

Status

Mortgage Payment / Rent

Time at Residence - Years

Time at Residence - Months

Financial Information

Applicant:

Mortgage Balance

Mortgage Lender

Monthly Payment

Name of Bank

Account Type(s)

Name of Bank

Account Type(s)

Other Income (monthly)

Source

Other Income (monthly)

Source

Other Income (monthly)

Source

Desired Vehicle

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Year:

Make:

Model:

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Desired Vehicle *

Down Payment

Trade-In Vehicle

VIN

Year

Make

Model

Exterior Color

Mileage

Condition

Asking Price

Remaining Balance

Describe Vehicle Condition and History

I certify that the information provided by me is correct.
I certify that I am eighteen years of age or older.

I also understand that you will be checking with credit reporting agencies.
I authorize an investigation of my credit and employment history and the release of information about my credit experience.

Quick Contact

Dealership Info

Contact Us

Main Phone:

503-213-4434

Alt. Phone:

503-816-4628

Fax:

971-244-7244

Email:

sales@jordanmotorsports.com

Business Hours

Mon:	By Appointment \| 10 - 7
Tue:	By Appointment \| 10 - 7
Wed:	By Appointment \| 10 - 7
Thu:	By Appointment \| 10 - 7
Fri:	By Appointment \| 10 - 7
Sat:	By Appointment \| 10 - 7
Sun:	Closed

Location

203 NE 122ND AVE
Portland, OR 97230