FINANCING PREQUALIFICATION APPLICATION

Fill out the form below to prequalify for financing. The more accurately this form is filled out, the better we can help you. Applicacion en Español aqui.

Once you've submitted your application, a representative of Massey Auto Sales will call within 48 hours. Don't let running a credit report scare you, we can usually finance anyone....good credit, messy credit, or downright bad credit! *indicates a required field

YOUR INFORMATION
Name: *
Address: *
City: *
State: *
Zipcode: *
How long have you lived at this address? *
Phone:
Email: *
What is your date of birth? *
What is your Social Security Number? *
INCOME INFORMATION
Job or Source of Income: *
How long have you had this job? *
Monthly Gross: *
Do you have another source of income?
TRADE IN INFORMATION
Do you have a trade in?	Yes No
If yes, what is the year, make, and model?
Is this trade paid for?	Yes No
If no, what is the balance owed and to who?
Do you have a cash down payment?	Yes No
If yes, how much?
What would you like your payment to be?
What kind of car are you looking for?
If there is an additional person on the title of your trade in, please fill out the following information:
Second Person Name:
Second Person SSN:
Second Person Income:
Relationship to Applicant:
MISCELLANEOUS INFORMATION
How did you hear about us? Use the "control" key to select more than one.	TV Commercial Register Guard Ad Online Search From a Friend Drive By Craigslist Other
If you were given a business card, please enter the name on the card.
When is a good time to contact you?
By checking the box below you are authorizing us run a credit report in order to obtain financing. *	Yes, I authorize you to run a credit report on my behalf.
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