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Application for Credit
Name
First
Last
Social Security
*
Date Of Birth
*
Date Format: MM slash DD slash YYYY
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Location
*
Elkhart
Fort Wayne North
Goshen
Indianapolis Keystone Ave
Indianapolis Lafayette Rd.
Kokomo
Mishawaka
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Mishawaka
Residential Information
Rent/Own
*
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Time in the area:
Date
*
Date Format: MM slash DD slash YYYY
Employment Information
Current Employer
*
Start Date
*
Date Format: MM slash DD slash YYYY
Pay Frequency
*
Weekly
Bi-Weekly
Semi-Monthly
Monthly
Next Pay Date
*
Date Format: MM slash DD slash YYYY
Gross Employment Income
*
Previous Employer
*
Start Date
*
Date Format: MM slash DD slash YYYY
Other Income
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Total of Other Income
Type of Income
Payment Frequency
Weekly
Bi-Weekly
Semi-Monthly
Monthly
If applying with another person please have that person fill out and submit an online application.
I am applying for credit with this person:
I understand that you will forward my application to SCS Credit Corp., 900 E. Colfax Ave., Suite 200, South Bend, IN 46617, for that company to review. Any approval by SCS Credit Corp. will be conditional upon me providing that company with certain documents and verification of the information I have provided on this application.
Confirmation
*
I have read and agree to the terms and conditions.
I REQUEST THAT YOU CONTACT ME AT MY PHONE NUMBER AND/0R EMAIL ADDRESS LISTED ABOVE TO DISCUSS THE PURCHASE OF A VEHICLE FROM INSTANT AUTO FINANCE, INC. MY REQUEST THAT YOU CONTACT ME AT MY PHONE NUMBER AND/OR EMAIL ADDRESS WILL REMAIN VALID FOR 90 DAYS FROM THE DATE OF MY APPLICATION OR UNTIL I NOTIFY YOU THAT I HAVE CANCELLED MY REQUEST, WHICHEVER COMES FIRST.
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