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917-924-2277 (CARS)
sales@cruzeauto.com

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Personal Credit Application

Cruze Auto Personal Application

Contact Information
Name*
First Middle Last
- Date of Birth*
  Must be 18 years or older
  Month
  Day
  Year
- Marital Status*
  - Single
  - Married
  - Prefer not to answer
- Email*
- Cell Phone*
- Home Phone
- Social Security Number*
Place of Residence
Current Address*
Street Address Address Line 2 City State ZIP Code
- Do you Own or Rent?*
  - Own
  - Rent
  - Live with Parents
- Monthly Mortgage or Rent Amount?*
How long have you lived at current address?*
Previous Address (if less than two years)
Street Address Address Line 2 City State ZIP Code
Employment Status*
- Employed
- Retired
Employment Information
- Employer Name*
- What is your position at the company?*
- Employer Phone Number*
Employer Address*
Street Address Address Line 2 City State ZIP Code
How long have you been employed?*
- Gross Annual Income*
- Other Income
- Other Income Source
Income information for Retiree
- How long have you been retired?*
- Annual Income*
Income Source(s)*
Please detail the source of your income.
ID & Signature
Drivers License (Front & Back)
If you do not upload a picture of your ID, your application will not be submitted. Please email your sales representative to continue with the application.
Drop files here or

Max. file size: 32 MB.
- Who is your sales specialist?*
- Signature*
  Use your mouse or finger to sign above
- Is there a Co-Applicant?*
  - Yes
  - No
- Do you want to be notified about our specials?*
  - Yes
  - No
Co-Applicant's Contact Information
Co-Applicant Name*
First Middle Last
- Co-Applicant Date of Birth*
  Must be 18 years or older
  Month
  Day
  Year
- Co-Applicant Email*
- Co-Applicant Cell Phone*
- Co-Applicant Home Phone
- Co-Applicant Social Security Number*
Co-Applicant's Place of Residence
Co-Applicant Current Address*
Street Address Address Line 2 City State ZIP Code
- Do you Own or Rent?*
  - Own
  - Rent
- Co-Applicant's Monthly Mortgage or Rent Amount?*
How long has the Co-Applicant lived at current address?*
Previous Address (if less than two years)
Street Address Address Line 2 City State ZIP Code
Co-Applicant's Employment Information
Co-Applicant's Employment Status*
- Employed
- Retired
- Co-Applicant's Employer Name*
- What is Co-Applicant's position at the company?*
- Co-Applicant's Employer Phone Number*
Co-Applicant's Employer Address*
Street Address Address Line 2 City State ZIP Code
How long has the Co-Applicant been employed?*
- Co-Applicant's Gross Annual Income*
- Co-Applicant 's Other Income
- Co-Applicant's Other Income Source(s)
Income information for Retired Co-Applicant
How long has the Co-Applicant been retired?*
- Retired Co-Applicant's Annual Income*
- Retired Co-Applicant's Income Source(s)*
  Please detail the source of your income.
Co-Applicant's ID & Signature
Co-Applicant's Drivers License (Front & Back)
If you do not upload a picture of your ID, your application will not be submitted. Please email your sales representative to continue with the application.
Drop files here or

Max. file size: 32 MB.
Co-Applicant's Signature*
Use your mouse or finger to sign above

Δ

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: OFFICE LOCATION :

2084 East 8th Street 2nd Floor, Brooklyn, New York, 11223

PHONE:

+1 (917) 924 2277 (CARS)

FAX:

+1 (347) 462 4484

EMAIL:

sales@cruzeauto.com

HOURS:

Mon – Thurs : 10am – 7pm

Fri : 10am – 3PM

Sat-Sun : Closed

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