BAH | Boutique Auto Haus

Online Credit Application

Car of Interest

Vehicle

This field is optional. Select a vehicle if you want to request a financing for one of our cars.

Purchase Information

Salesperson Name

Cash Down Payment

Trade In Information

Year

Make

Model

Mileage

Est. Trade-in Value

Applicant Information

Applicant Name

Social Security Number

Date of Birth

Drivers License Number

State

Exp

Phone

Residence Address

Address

Residence Status

Mortgage/Rent Amount

Residence Length

Applicant Financial Information

Current Employer

Self Employed

Employer Name

Job Title

Work Phone

Employment Length

Gross Income

Frequency

Employment Address

Employer address

Other 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 this obligation.

Source

Gross Income

Frequency

Co-Applicant Information

Is there a Co-Applicant?

I agree to the terms and conditions of this application and give permission to Boutique Auto Haus to run an automotive credit check on my behalf.

In submitting this credit application, I/We certify that the information provided on this application is, to the best of my/our knowledge, complete and accurate. I/We understand that the Dealer and financial institution(s) will rely on this information to judge my/our credit worthiness, and will retain this application and information about me/us whether or not this application is approved. Further, I/We authorize an investigation of my/our credit and employment history, in conjunction with which my/our credit report(s) may be obtained from one or more consumer credit reporting agencies. I/We understand that false statements may subject me/us to criminal penalties. I/We further understand