Tri-State Auto, Inc. Credit App.

When Others Won't, Tri-State Auto, Inc. Will!
Tri-State Auto, Inc. Acceptance can help you drive away with your new vehicle TODAY.

APPLY NOW FOR YOUR QUICK LOAN APPROVAL


Applicant Information

First Name:*
Middle Name:
Last Name:*
Date of Birth:		Phone Numbers:
Social Security No.:**		Cell:
Email:*		Work:

Address:		Home:*
Apartment:
City:
State:		Zip:*
How Long at Address:	Years	Months
Monthly Rent/Mortgage:
Housing Status:


Employment Information

Employer:
Address:
City:
State:		Zip:
Occupation:
How long:	Years	Months
Monthly Income:

Cash Down Amount

Contact Information

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** Note: In order to qualify for one of our many credit programs, we'll need your social security number to run a credit check. If you proceed with the questions above and submit your information by clicking on the Submit button, you are thereby giving your consent for our dealership to obtain a consumer credit report.