Executive Auto Sales

296 George Washington Highway (Rte 116)
Smithfield, RI 02917

Showroom 703-712-8324


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Phone numbers should be in the format 111-222-3334.

Loan Information

Desired Loan Amount
Desired Monthly Payment

Personal Information

First Name *
Middle Name
Last Name *
Address *
City *
State *
Zip *
Daytime Phone *
Evening Phone
Fax
Email Address *
Social Security No. *
Date of Birth *
Mortgage
Rent
Payment (per month) *
Time at Address - Years *
Months *
If you have lived at your current residence less than 5 years, please enter your prior address
  Which accounts are in your name:
Utilities
Savings
Checking
Phone
Drivers Lic. # *
Drivers Lic. State (CA,NY, etc.) *
Driver Lic. Exp. Date (MM/DD/YYYY) *

Employment Information

Employer *
Address
State
City
Zip
Business Phone *
Occupation
Employment Status *
Time On Job - Years *
Time On Job - Months *
How often are you paid: *
How much per paycheck
Other Income
Consent: I agree that by submitting this application, I authorize and give this dealership, as well as any potential financing source this dealership presents this application to, my consent to obtain my credit report from any credit reporting agency used to complete an investigation of my credit. *

Click to add Co-Borrower

Vehicle Information

Make
Model
Year
Mileage

Down Payment

Down Payment Amount

Trade-In Details

Make
Model
Year
Mileage

Additional Comments

Terms And Conditions

By submitting this application, I am applying for credit with this dealership or a designated financing source, I certify that all information herein is true and complete, and I certify that I am the person named above. I authorize this dealership and any potential financing source to retain this application, to check and verify my credit, employment, and salary history. By using the dealers website, I authorize them to provide reports on the status of my credit application, including information concerning whether I pre-qualify for a loan, which lender's loan offer (if any) I choose to accept, whether my application for credit is denied, and whether I accept a loan from the specified lender.

If you're a resident of California, Maine, Massachusetts, New York, Ohio, Rhode Island, Vermont, Washington, or Wisconsin, please scroll down to read the notice called for under the law of your state. By submitting this application, you represent that you've read the notice required under the law of your state.

CALIFORNIA RESIDENTS: A married applicant may apply for an individual account.

MAINE RESIDENTS: Consumer reports (credit reports) may be obtained in connection with this application. If you request, the creditor will inform you:

  1. whether or not consumer reports were obtained, and
  2. if reports were obtained, the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports.

You have the right to choose the agent and insurer for the insurance required by this transaction, but the insurer must be approved by the creditor.

MASSACHUSETTS RESIDENTS: Massachusetts law prohibits discrimination on the basis of marital status or sexual orientation.

NEW YORK RESIDENTS: A consumer credit report may be requested in connection with this application or in connection with updates, renewals, extensions or enforcement of any credit granted as a result of this application. Upon your request, the creditor will inform you whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished such report.

OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

RHODE ISLAND RESIDENTS: A consumer credit report may be requested in connection with this application.

VERMONT RESIDENTS: I authorize the creditor to obtain credit reports on an ongoing basis about me from credit reporting agencies in connection with this extension of credit transaction. The creditor may obtain credit reports about me on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons:

  1. reviewing the account;
  2. increasing the credit line on the account;
  3. taking collection action on the account; or,
  4. any other legitimate purposes associated with the account.

WASHINGTON RESIDENTS: Please advise us if the creditor should investigate your credit references and/or credit history under another name.

MARRIED WISCONSIN RESIDENTS: No provision of a marital property agreement, a unilateral settlement agreement under Wis. Stat. §766.59, or a court decree under Wis. Stat. §766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision.

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