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Millennium Auto Sales 
30 W 21th Stret
Hialeah, FL 33010
U.S.A

(305) 883 5523
(305) 883 7390 fax

 

 

We can begin the credit process immediately, eliminating delays in processing your loan or lease. This convenient form will provide us with all the information we need to get started.

Complete this application in as much detail as possible, taking care to enter all required information. Click submit and see how quickly you'll be on your way to a new car.

General Information
First Name * :
Last Name * :
Email * :
Social Security # * :
Birthdate * :
Address * :
City/State/Zip * :
Home Phone * :
Time at Residence :
Residence Type :
Rent/Mortgage * :
 
Financing Information
Banking Type :
Financing Preferred :
Loan Term (Months) :
Amount Required $ :
Time of Purchase :
Downpayment :
Trading in Vehicle? No Yes
Year :
Make :
Model :
Mileage :
Estimated Payoff :
 
Employment Information
Employer * :
Gross Monthly Income * :
Occupation * :
Work Phone * :
Time on Job :
Other Income Source :
Gross Amount :
 
 
ACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.

 
Copyright: Millennium Auto sale Inc. - 2002