ADD JOINT APPLICANT

DeMaagd Nissan
333 W Dickman Road
Battle Creek, MI 49037
269-963-5538
demaagdnissan.businessadvantagedealer.com
Use this form if you have previously submitted a credit application as the primary applicant, but the finance department is asking for a joint application in order to quality you (and your joint applicant) for the appropriate auto loan.
PRIMARY APPLICANT Print
 
NAME IN PREVIOUS APPLICATION
Name Prefix: 
First Name: 
Middle Name: 
Last Name: 
Name Suffix: 
 
OTHER PERSONAL INFORMATION
Email Address: 
Day-time Phone: 
Birth Date (dd/mm/yyyy): 
Social Security#: 
JOINT APPLICANT
 
Personal Information
Relationship: 
Name Prefix: 
First Name: 
Middle Name: 
Last Name: 
Name Suffix: 
Email Address: 
Day (Work) Phone: 
Evening Phone: 
Mobile Phone: 
Best Contact: 
Birth Date (dd/mm/yyyy): 
Social Security #: 
Credit History: 
Credit Score: 
Mother's Maiden Name: 
Driver's License Number: 
Driver's License Expires: 
Driver's License State: 
 
Current Address (5+ years)
Address: 
City: 
State: 
Zip Code: 
Residence Type: 
Rent Landlord: 
Mortgage Company: 
Monthly Payment $: 
Years Stayed: 
Months Stayed: 
 
Current Employer (2+ years)
Employment Status: 
Company Name: 
Telephone: 
Job Title: 
Occupation: 
Address: 
City: 
State: 
Zip Code: 
Years Employed: 
Months Employed: 
Gross Monthly Income $: 
 
Previous Employer
Company Name: 
Telephone: 
Job Title: 
Occupation: 
Address: 
City: 
State: 
Zip Code: 
Years Employed: 
Months Employed: 
Gross Monthly Income $: 
 
Financial Information
Other Income $: 
OPT-IN REQUIRED: 
 
By submitting this form to DeMaagd Nissan, 333 W Dickman Road, Battle Creek, MI 49037, 269-963-5538, you certify that the information provided is complete and accurate to the best of your knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject you to criminal penalties. You authorize the creditors to obtain credit reports about you on an ongoing basis during this credit transaction and to check your credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, you authorize the creditor to give credit information about you to its affiliates.
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