Tel: (314) 752-3800 Fax: (314) 752-7300
Type of Contract
Lease
Retail
Pre-Pay Lease
Owners Choice
Center Number
D4064
Center Name
BIMMERS R US AUTO SALES LTD.
Tel
(314) 752-3800
Fax
(314) 752-7300
Contact
GREGORY B. STROUD
TRADE IN INFORMATION
MSRP
Selling Price
Cash Down
Net Trade In
Other Charges
Amount Financed
Term
Monthly Payment
VEHICLE INOFRMATION
New
Used
Demo
Year
Make
Model
Mileage
TRADE IN INFORMATION
Year
Make
Model
Mileage
PERSONAL INFO
First Name
Middle Initia
Last Name
Jr./Sr.
Select
Junior
Senior
Date of Birth
Home Phone
E-Mail
Social Security
Number
Present Address
City
State
Zip
Country
How Long?
0 years
1 years
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12+ years
0 months
1 months
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
Previous Address
City
State
Zip
Country
How Long?
0 years
1 years
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12+ years
0 months
1 months
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
Nearest Relative Not Living With You
First Name
Last Name
Address
City
State
Home Phone
EMPLOYMENT
Employer Name
Employer
Phone
Years of Service
0 years
1 years
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12+ years
0 months
1 months
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
Occupation
Gross
Annual
Previous Employer
Employer
Phone
Years of Service
0 years
1 years
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12+ years
0 months
1 months
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
Occupation
Other Annual Income
Source of Annual Income
Self Employed?
Yes
No
EDUCATION
Education Background
( Highest Level )
High School
2 Yr. College
4 Yr. College
Graduate School
FINANCE
Residence Mortgase
With Relative
Renting
Own Free & Clear
Monthly Payment
Personal Finance
Checking
Savings
Have You Ever Obtained Credit Under Different Name?
No
Yes
Date
The information in this application is true and correct to the best of my knowledge. I authorize Bimmers R Us Auto Sales Ltd. to request information from me and to make whatever inquiries you consider necessary and appropriate (including requesting a consumer report from consumer reporting agencies) in considering granting me credit and for the purpose of any updates, renewals, extensions of credit, reviewing or collecting my account, offering me other products and services for which I may qualify, or for any other lawful purpose. Bimmers R Us Auto Sales Ltd. will rely on this information in deciding whether to grant the credit requested. My application will be considered by the appropriate creditor in the Bimmers R Us Auto Sales Ltd. group depending on the type of credit I request. If I change the type of credit that I am requesting, I thereby request that a second creditor in your group offering the requested type of credit consider my application; and I consent to both creditors reviewing my credit report. I understand that various communications from the creditor to me may be conducted under your group name of Bimmers R Us Auto Sales Ltd. I authorize Bimmers R Us Auto Sales Ltd. to share information with its affiliates about its credit experience with me. I understand that Bimmers R Us Auto Sales Ltd. will retain this application whether or not credit is approved.
NOTICE TO APPLICANT(S
)
BY CHECK THE ABOVE BOX APPLICANT(S) AUTHORIZE SUBMISSION OF THIS CONSUMER CREDIT APPLICATION TO
Bimmers R Us Auto Sales Ltd., 3435 S. Kingshighway Blvd. St. Louis, MO 63139
2005 ©
Bimmers R Us Auto Ltd
.. All rights reserved.
