EARLY LOAN TERMINATION

Bender Nissan
3000 Mabry Drive
Clovis, NM 88101
575-762-3701
bendernissan.com
If you have an existing auto loan or lease that you want to get out of, we may be able to help you terminate that loan so your can purchase a new or pre-owned vehicle.
LOAN HOLDER Print
 
PERSONAL INFORMATION
First Name: 
Middle Name: 
Last Name: 
Email Address: 
Day-time Phone: 
Evening Phone: 
 
CURRENT ADDRESS
Address: 
City: 
State: 
Zip Code: 
 
Mobile Phone: 
Work Phone: 
LENDER INFORMATION
 
Finance Company: 
Type of Auto Loan: 
Original Loan Amount $: 
Current Loan Balance $: 
Monthly Payment $: 
Payment Status: 
VEHICLE INFORMATION
 
VEHICLE FINANCED ON LOAN
Enter information on the vehicle that is financed
through this loan. To help us identify your vehicle,
provide all the information requested below.
VIN: 
Year: 
Make: 
Model: 
Trim: 
Miles: 
Color: 
Purchased As: 
Purchased From: 
Date of Purchased: 

VEHICLE WANTED
If you are interested in a new or pre-owned vehicle from us, please enter that vehicle below.
StockID: 
VIN: 
Type: 
Year: 
Make: 
Model: 
Trim: 
Color: 
Budget Amount $: 
Buy Time Frame: 
OPT-IN REQUIRED: 
 
By submitting this form to Bender Nissan, 3000 Mabry Drive, Clovis, NM 88101, 575-762-3701, you certify that the information provided is complete and accurate to the best of your knowledge; and you authorize us to use this information for purposes pertaining to this submission.
®© 2018 ROGEE