Instant Credit Application Name Home Phone  -  - Social Security # Birth Date  /  / Email Address # of Dependents Current Address Street Address City State       Zip   How Long     Years Months Monthly Payment  Prior Address Street Address OwnRent Live w/ Others City State       Zip   How Long     Years Months Current Employer Employer Name Phone  -  - Position Address Gross Income   (Before Taxes) Weekly Monthly Yearly How Long     Years Months Previous Employer Employer Name  Address Gross Income   (Before Taxes) Weekly Monthly Yearly How Long     Years Months Other Income Income Source Monthly Amount Co-Maker Information Name Home Phone  -  - Social Security # Birth Date  /  / Email Address Relationship to Applicant Current Address Street Address City State       Zip   How Long     Years Months Monthly Payment  Prior Address Street Address OwnRent Live w/ Others City State       Zip   How Long     Years Months Current Employer Employer Name Phone  -  - Position Address Gross Income   (Before Taxes) Weekly Monthly Yearly How Long     Years Months Previous Employer Employer Name  Address Gross Income   (Before Taxes) Weekly Monthly Yearly How Long     Years Months Other Income Income Source Monthly Amount Trade In/Cash Down Trade In Year, Make & Model Trade In Condition Cash Down Payment Range By submitting this application, you are certifying that all information on this application is true and correct.  UNITED AUTO SALES may request consumer credit reports in connection with this application, renewal, or credit update; and is authorized to exchange credit information regarding this application and any credit given.  If you ask us, we will tell you whether or not such consumer report was requested, and if so, we will also tell you the name and address of the consumer reporting agency that furnished that report.