Credit Application V2

step 1 of 5

Your information

First Name *

First Name cannot be empty

Last Name *

Last Name cannot be empty

Email *

Email cannot be empty

Home phone

Cell Phone *

Cell Phone cannot be empty

Date of Birth *

Date of Birth cannot be empty

Social Security Number *

Social Security Number cannot be empty

Citizenship *

Citizenship cannot be empty

Continue

step 2 of 5

Your Address

Street Address *

Street Address cannot be empty

City *

City cannot be empty

Zip *

Zip cannot be empty

State *

State cannot be empty

Own or Rent? *

Own

Rent

This cannot be empty

Continue

step 3 of 5

Your Vehicle

Year *

Year cannot be empty

Make *

Make cannot be empty

MOdel *

Model cannot be empty

Body Type *

Body type cannot be empty

New or Used? *

New

Used

This cannot be empty

refinance? *

yes

Refinance cannot be empty

Mileage

If you found a car online that you are interested, add the link here:

VIN

Selling Price *

Selling price cannot be empty

Down Payment *

Down payment cannot be empty

Lease Amount *

Lease amount cannot be empty

Term of lease *

Term of lease cannot be empty

Continue

step 4 of 5

Current Employment

Company *

Company cannot be empty

Street Address *

Street Address cannot be empty

City *

City cannot be empty

Zip *

Zip cannot be empty

State *

State cannot be empty

Employer phone *

Employer phone cannot be empty

Years Employed *

Years employed cannot be empty

Position *

Position cannot be empty

Annual Income *

Annual income cannot be empty

Choose your Lease Manager: *

This cannot be empty

Continue

step 5 of 5

Finalise details

Comments

* Declaration and Authorization Statement:

The undersigned individual, on behalf of themselves and all others listed on this application, recognizing that their individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to and authorizes Putnam Leasing and any assignee, lender, or funding source that may be utilized to obtain and use a consumer credit report on the undersigned, now and from time to time, as needed in the credit evaluation and review process, and waives any right or claim they would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.

To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What does this means for you: When you open an account, we will ask for your name, address, date of birth (for individuals) and other information that will allow us to identify you. We will also ask for a copy of your driver’s license (for individuals) or other identifying documents.

Declaration and Authorization needs to be checked

* Indicate that you understand and agree with the above statement by typing your name below:

This cannot be empty

submit application