Bahia Auto Sales - Internet Specials

Today's Date is:	2008-05-12 YYYY-MM-DD
FirstName:
MiddleInt:	.
LastName:
Email:
SocSec:
DrivLicense:	state:
Date of Birth:	YYYY-MM-DD
Home Phone:
Work Phone:	include extension
Home Address:
Unit Number:	#
City:
State:
Zip:
For How Long:	years, months
Do you:	Own or Rent
Mortgage/Rent Amount:	$ per month
If current residence is less than 3 years
PrevAddress:
Unit Number:	#
City:
State:
Zip:
For How Long:	years, months
Employer:
Your Title/Rank:
How Long:	years, months
Monthly Income:	$
Additional Income:	$
Other Expenses:	$ Including: Monthly debt payments Child Support payments other monthly payments
Certify your Identity: by checking this box, I hereby certify that I am the person identified in the preceeding information and give authorization for Bahia Auto Sales to obtain a copy of my credit history report.

This online Credit Application is not intended as a substitute for a fully completed signed Credit Application, nor is it an offer of credit. Prior to any transaction, we will help you complete a full Credit Application and signed persuant to California Lending Laws.