Application For Credit

Please complete all sections that apply, providing at least two years of residence and employment history. Financing through Lendmark Financial Services and our lender network.

No Social Security number is collected online — that step is completed in person at the dealership.

Type Of Credit

If married, you have the right to apply for credit separately from or jointly with your spouse.

Purpose

Amount Requested

Applicant

Your personal and residence information.

Full Name (First, Middle, Last)

Date Of Birth

Residence Address (Street, City, State, Zip)

How Long? (Yrs / Mos)

Mailing Address (If Different) — Optional

Previous Address (If At Current Less Than 2 Years)

Cell Phone

Home Phone — Optional

No. Of Dependents

Email Address

Housing

Landlord / Mortgage Holder

Rent / Mortgage Per Mo

Employment & Income

Income from alimony, child support, or separate maintenance need not be revealed if you do not choose to rely on it in applying for credit.

Employer's Name And Address

Occupation

How Long? (Yrs / Mos)

Work Phone — Optional

Gross Monthly Income From Employer

Previous Employer (If Less Than 2 Years)

All Other Monthly Income — Optional

Source(s) Of Other Income

Obligated To Pay Alimony / Child Support?

Current Auto

Optional — tell us about a vehicle you currently own or finance.

Auto Yr / Model

Financed By

Authorization

I/We, the undersigned applicant(s) for credit, affirm that the information contained in this application is true and correct in all respects, and understand that it will be relied upon by Five Rivers Auto Sales and its lending partners, including Lendmark Financial Services, LLC, in making a credit decision. I/We authorize the dealer and lender to make whatever inquiries they deem necessary to verify this information, including obtaining my/our personal credit reports, and consent to being contacted by phone, text message, or email at the numbers and addresses provided. CA DISCLOSURE: Married persons may apply for separate accounts. Final signatures, identification, and Social Security numbers are collected in person at the dealership.

I have read and agree to the authorization statement above, and the information I provided is accurate.

Submitting opens your texting app with the completed application addressed to our team — just hit send. Prefer paper? Stop by 708 Cooper Ave, Yuba City or call (530) 777-1430 and we'll walk you through it.

Financing offered through Lendmark Financial Services and our network of local lenders. Submitting this application does not obligate you to purchase. A credit check only happens once you complete the final application in person at the dealership.