Auto MJ — Financing application · MJ MJ Autos Chelsea

1. Customer Information

Write it exactly as it appears on your license or ID.

First Name

Middle Name (optional)

Last Name(s)

Date of Birth

Driver's License No.

Social Security # / ITIN Marital Status

Single Married Divorced Separated

Dependents (optional)

Email

Cell Phone

Alternate Phone (optional)

Best Time to Contact (optional)

2. Current Address

Address (Street & Number) Apt / Unit (optional)

City

County

State

Zip Code

Time at This Address Monthly Rent / Mortgage Payment

Rent Own Live with Family

3. Previous Address (only if less than 2 years at current address)

Address

City

State

Zip

4. Employment Information

Employer Name

Job Title

Employer Address

Time Employed

City / State

Gross Monthly Income Supervisor (optional) Employment Type

Full Time Part Time Self-Employed

Employer Phone (optional) How Often Are You Paid?

Weekly Biweekly Monthly

5. Additional Income (optional)

Income Source

Monthly Amount

Income Source

Monthly Amount

6. Personal References

Reference No. 1 Full Name

Relationship

Phone

Reference No. 2 Full Name

Relationship

Phone

7. Vehicle of Interest

Stock / Inventory No. (optional)

Year

Make

Model

Down Payment

Estimated Monthly Payment (optional)

Documents You Can Bring

Driver's License Proof of Income Proof of Residence Insurance Information

Photo of your driver's license or ID — front Photo of your driver's license or ID — back (optional)

Only authorized dealer staff can see it, to verify your information.

8. Authorization & Consent

I certify that the information provided in this application is true, correct, and complete to the best of my knowledge. I authorize MJ Chelsea Auto Sales and its affiliated finance companies to obtain, verify, and share my credit information for the purpose of evaluating this credit and financing application.

Type your full name here as your signature I agree to receive text messages from MJ MJ Autos Chelsea about my application, my account, my payments and my purchase experience. Message frequency varies. Message and data rates may apply. Reply STOP to cancel or HELP for help. Not required to purchase. Signature (draw with your finger)