Credit Application

CONTACT INFORMATION

Address:

Creative Auto Brokers
3229 Kluk Ln Ste 102 Riverside, CA 92501

Phone: (951)232-1216
Email: info@creativeautobrokers.net

Full Legal Name(Required)

Current Residential Street Address(Required)

Current Residential City(Required)

Current Residential State(Required)

Current Residential Zip(Required)

Do You Own, Rent, or Live with Family?(Required)

Monthly Rent/Mortgage Amount(Required)

Years Lived At Address(Required)

Date of Birth (mm/dd/year)(Required)

Email(Required)

Phone Number(Required)

Drivers License Number(Required)

Drivers License Expiration(Required)

Occupation(Required)

Present Employer(Required)

Years At Current Employer(Required)

Employer Street Address(Required)

Employer City(Required)

Employer State(Required)

Employer Zip(Required)

Employer Phone Number(Required)

Gross Monthly Income(Required)

Trade-In

Contact Information

First Name

Work Phone

Email

Last Name

Phone

Preferred Contact
Email Phone

Comments

Options

Vehicle Information

Year

Model

VIN

Engine

Transmission

Automatic

Make

Exterior Colour

Kilometres

Doors

Drivetrain

2WD

Vehicle Rating

Body (dents, dings, rust, rot, damage)

10 - best

Engine (running condition, burns oil, knocking)

10 - best

Glass (chips, scratches, cracks, pitted)

10 - best

Exhaust (rusted, leaking, noisy)

10 - best

Tires (tread wear, mismatched)

10 - best

Transmission / Clutch (slipping, hard shift, grinds)

10 - best

Interior (rips, tears, burns, faded/worn, stains)

10 - best

Vehicle History

Was it ever a lease or rental return?

Yes

Is the odometer operational and accurate?

Yes

Detailed service records available?

Yes

Title History

Is there a lienholder?

Who holds this title?

Vehicle Assessment

Does all equipment and accessories work correctly?

Did you buy the vehicle new?

Has the vehicle ever been in any accidents? Cost of repairs?

Is there existing damage on the vehicle? Where?

Has the vehicle ever had paint work performed?

Is the title designated 'Salvage' or 'Reconstructed'? Any other?

Name:
Email:
Friends Email:
Message:

Name:
Preferred Contact:	Email Phone
Email:
Phone:
Offered Price:
Financing Required:	Yes Yes No
Other Comments/Conditions:

Name:
Preferred Contact:	Email Phone
Email:
Phone:
Best Day:
Best Time:

Credit Application

CONTACT INFORMATION