Hawaii Auto Loans Credit Application

Name First Last
Suffix (Jr./Sr./etc.)
Social Security #
Date of Birth / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone # - (###) - ### ####
Or cell phone number
Time at Address (Example: 2yr 5m)
Housing Status
Monthly Payment or Rent $ . Dollars Cents
If you live with family and pay no rent, please enter zero for both fields.
Employed By

If unemployed, retired or self-employed please specify.
Business Phone # - (###) - ### ####
Time Employed (Example: 2y 5m)
Occupation or Job Title/Rank
Gross Monthly Income (Before Taxes) $ . Dollars Cents
Rounding up to the nearest dollar is ok if you don't have the precise amount. (example: $2194.75 can be $2195.00)
Other Additional Monthly Income $ . Dollars Cents
If you receive additional monthly income such as SSI, Disability or a second job, please list it here.
Source of Additional Income

Please list where you receive additional income from.
Comments or Questions
Email Address
Electronic Signature First Last
By submitting this electronic signature you understand and agree that you are applying for credit by providing the information to complete and submit this credit application. We may keep this application and any other application submitted to us and information about you whether or not the application is approved. You certify that the information on the application and in any other application submitted to us, is true and complete. You understand that false statements may subject you to criminal penalties. The words “you”, “your” and “yours” mean each person submitting this application. The words “we”, “us”, “our” and “ours” as used below refer to us, the dealer, and to the financial institution(s) selected to receive your application. You authorize us to submit this application and any other application submitted in connection with the proposed transaction to the financial institutions disclosed to you by us the dealers. This application will be reviewed by such financial institutions on behalf of themselves and us the dealer. In addition, in accordance with the Fair Credit Reporting Act, you authorize that such financial institutions may submit your applications to other financial institutions for the purpose of fulfilling your request to apply for credit. You agree that we may obtain a consumer credit report periodically from one or more consumer reporting agencies (credit bureaus) in connection with the proposed transaction and any update, renewal, refinancing, modification or extension of that transaction. You also agree that we or any affiliate of ours may obtain one or more consumer credit reports on you at any time whatsoever. If you ask, you will be told whether a credit report was requested, and if so, the name and address of any credit bureau from which we or our affiliate obtained your credit report. You agree that we may verify your employment, pay, assets and debts, and that anyone receiving a copy of this is authorized to provide us with such information. You further authorize us to gather whatever credit and employment history we consider necessary and appropriate in evaluating this application and any other applications submitted in connection with the proposed transaction. You understand that we will rely on the information in this credit application in making our decision. We may monitor and record telephone calls regarding your account for quality assurance, compliance, training, or similar purposes.