Autoboing Credit Application - J.R.'S AUTO SALES (2004 Dodge Ram 1500 )

Secure Credit Application

	Application is being submitted to the following dealer:	Vehicle you are interested in:
	J.R.'S AUTO SALES, INC 3279 SUMMER AV Memphis , TN 38112 (901)458-4314 Click Here to View our Privacy Statement	Vehicle: 2004 Dodge Ram 1500 (1D7HA16N64J124630) Color: RED Mileage: 161093 Sales Price: $10,995.00 Vehicle Detail: Click Here

Please take a moment to fill out our Online Credit Application. Once submitted, the dealer receiving this application will contact you directly. If you have any questions regarding this application or any vehicles you've seen on AutoBoing, please contact J.R.'S AUTO SALES at (901)458-4314 .

Select Applicant Type

Primary Applicant Information (fill out all (req'd) fields)

First Name:	(req'd)
Last Name:	(req'd)
Middle Name:
Email Address:	(req'd)
Verify Email:	(req'd)
SSN:	(req'd)
Birth Date:	(req'd) (MM/DD/YYYY)
Home Phone:	(req'd)

Residence Type:
Monthly Payments:	(req'd)
Time at Address:	years months
Address:	(req'd)
City:	(req'd)
State:	(req'd)
Zip:	(req'd)
If you have lived at your current address for less than 3 years, please enter information about your previous address
Previous Address:	(req'd)
Previous City:	(req'd)
Previous State:	(req'd)
Previous Zip:	(req'd)

Employer Information - Primary Applicant
Current Employer:
Monthly Employment Income:	(req'd)
Occupation/Title:
Time at Current Job:	yrs mths
Address:
City:
State:
Zip:
Work Phone:

Co-Applicant Information (fill out all (req'd) fields)

First Name:	(req'd)
Last Name:	(req'd)
Middle Name:
Email Address:	(req'd)
Verify Email:	(req'd)
SSN:	(req'd)
Birth Date:	(req'd) (MM/DD/YYYY)
Home Phone:	(req'd)

Residence Type:
Monthly Payments:	(req'd)
Time at Address:	years months
Current Address:	(req'd)
Current City:	(req'd)
Current State:	(req'd)
Current Zip:	(req'd)
If you have lived at your current address for less than 3 years, please enter information about your previous address
Previous Address:	(req'd)
Previous City:	(req'd)
Previous State:	(req'd)
Previous Zip:	(req'd)

Employer Information - Co-Applicant
Current Employer:
Monthly Employment Income:	(req'd)
Occupation/Title:
Time at Current Job:	yrs mths
Address:
City:
State:
Zip:
Work Phone:

I have reviewed your Privacy Statement.

By clicking Submit, you give J.R.'S AUTO SALES, INC authority to check my credit and employment history.
I understand that J.R.'S AUTO SALES, INC will retain this application whether or not it is approved.