Loan Application Information
(This information will be sent to one of our lenders for loan approval)
At the present time our
lenders require a credit
score of at least 620 for
consideration of a loan. If
your's is lower, one of
the advertisers on this
page may be able to help.
Name

Address

E-mail Address

City, State, Zip

Date of Birth

Social Security Number

Home Phone

Work Phone

Employer

Employer's Address

Monthly income (Gross)*

Spouse's Name

Reference (Other Than Spouse)
Name, Address

Home - Own

Rent

Loan/Credit Card  Account Number

Balanced Owed

Monthly Payment

Loan/Credit Card  Account Number

Balance Owed

Monthly Payment
Please indicate the loan amount or
vehicle(s) you are interested in.
A 1 Used Cars
601 1st Ave
South Sioux City NE 68776
402-412-2155
Click For Loan Calculator