instructions for filling out finance application
Information marked with
*
on form is required.
If you have any questions, please contact
Lisa or Dan
at 207-467-8266
Items you will need when picking up your new vehicle:
Drivers License or State ID
Proof of Income
Proof of Residency
Proof of Bank Account
1) APPLICANT INFORMATION
Your Full Name
*
Birth Date (mm/dd/yyyy)
*
/
/
Social Security Number
*
-
-
Home Phone
*
-
-
Cell Phone
-
-
Email
*
2) Applicant current address
Street Address (physical address only)
*
City
*
State
*
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
When did you move here?
select month
January
February
March
April
May
June
June
July
August
September
October
November
December
/
2a) Applicant previous address
Landlord or Mortgage Co Name
Street Address (physical address only)
Landlord/Mortgage Co City
City
Amount you pay for Rent or Mortgage
$
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Landlord/Mortgage Phone
-
-
3) Employment Information
Name of Employer
When did you start here?
select month
January
February
March
April
May
June
June
July
August
September
October
November
December
Address
City
Phone Number
-
-
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Position/Title
Name of Supervisor/Manager
Gross Monthly Income
Name of Previous Employer
When did you start with Previous Employer?
select month
January
February
March
April
May
June
June
July
August
September
October
November
December
Previous Employer Address
Previous Employer City
Previous Employer Phone Number
-
-
Previous Employer State Zip
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other Income Source
Other Income Gross Monthly Amount
Other Income Source
Other Income Gross Monthly Amount
4) OTHER Information
Name of Bank or Credit Union
Cash Down payment Amount
$
Trade-In Vehicle
Year
Make
Model
Miles
Desired Monthly or Weekly Payment
select
Weekly
Monthly
Do you have title for trade-in?
select
Yes
No
Click To Add Co-Applicant Info
Hide Co-App
Co-applicant information
1) co-APPLICANT INFORMATION
Your Full Name
Birth Date (mm/dd/yyyy)
*
/
/
Social Security Number
*
-
-
Home Phone
*
-
-
Cell Phone
-
-
Email
Relationship to Applicant
2) co-Applicant current address
Street Address (physical address only)
City
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
When did you move here?
select month
January
February
March
April
May
June
June
July
August
September
October
November
December
/
Landlord or Mortgage Co Name
Amount you pay for Rent or Mortgage
$
Landlord/Mortgage Co City
Landlord/Mortgage Phone
3) co-applicant Employment Information
Name of Employer
When did you start here?
select month
January
February
March
April
May
June
June
July
August
September
October
November
December
/
Address
City
Phone Number
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Position/Title
Name of Supervisor/Manager
Gross Monthly Income
Other Income Source
Other Income Gross Monthly Amount
Other Income Source
Other Income Gross Monthly Amount
4) co-applciant OTHER Information
Name of Bank or Credit Union
Cash Down payment Amount
$
Trade-In Vehicle
Year
Make
Model
Miles
Desired Monthly or Weekly Payment
select
Weekly
Monthly
Do you have title for trade-in?
select
Yes
No
5) Applicant and co-applicant signatures
By clicking Submit Application, you (a) certify that all of the information provided in this application is true and provided for the purpose of obtaining credit; and (b) authorize us and our authorized agents to share all information obtained in connection with your application with our Finance Partners for the purpose of processing your application, and to access your credit report in order to evaluate your credit application.
Additional Information
Applicant Signature
*
Enter the code seen at left here
Co-Applicant Signature
April 20, 2018
Copyright ©
Perk's Auto Sales, Inc.
Perk's Auto Sales, Inc.
Owners: Dan & Lisa Perkins
2224 Portland Road | US Route 1 | Arundel, Maine 04046
PH: (207) 467-8266 | FAX: (207) 467-8233