Pre-Qualification Form Use this form to qualify for financing pre-approval. I certify that this information in this application is complete and true. I authorize Beck Chevrolet/Saab to investigate my credit and employment history, obtain credit reports and release information about their credit experience with me. If an account is created, I authorize the obtaining of credit reports for purposes of reviewing or taking collection action on the account or for other legitimate purposes associated with the account. *These fields are required

*Amount Required:	*Loan Term: Choose A Term 36 Months 48 Months 60 Months
*Down Payment:	*Trade-in: Yes No

Manufacturer:
Year:
Model:
Miles:
VIN Number:

*Employer:
*Occupation:
*Monthly Income:
Time on Job:	Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10+ Years   Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months
*Business Phone:
*Address:
*City:
*State:	*Zip:

Source:
Monthly Income:

*Name:
*Email:
*Home Phone:
*Day Phone:
Preferred Contact:	Phone Morning Phone Midday Phone Evening Email Fax
Fax:
*Address:
*City:
*State:	*Zip:

*Soc. Sec. No.:
*Date of Birth	MM   DD   YY
*Residence Type:	Own Rent
*Monthly Payment:
*Time at Residence:	Years 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10+ Years   Months 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months

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