NTS AUTO SALES - 1544 State St. Watertown NY

NTS ONLINE FINANCING APPLICATION
CUSTOMER CONACT INFORMATION
Cell Phone:
Home Phone:
Email:
First Name:
Middle Name:
Last Name:
Social Security #:
Date of Birth:	MM/DD/YYYY
Down Payment Amount:	Minimum Amount $1000.00

CUSTOMER PERSONAL INFORMATION
Street Address:
City:
State:
Zip:
How long at residence:
Own or Rent:
Monthly Payment:
Landlord Name & Address:

EMPLOYMENT
Employer Name:
Dept. or Millitary Rank:
Occupation:
Employer Address:
City:
State:
Zip:
Phone:
Supervisor:
Monthly Income:
Pay Frequency:
Hire Date:
Other Income:

BANK INFORMATION
Account Types:	Checking Savings
Bank Name:
Branch Location:

CO-APPLICANT (If Applicable)
First Name:
Last Name:
Address:
City:
State:
Zip:
Date of Birth:
Social Security #:
Employer Name:
Employer Phone:
Hire Date:
Years at Employer:
Monthly Income:
CO-APPLICATION AUTHORIZATION Initial Here: By initialing here you are stating you have read and agree with the authorization statement below.

AUTHORIZATION
Initial in box to authorize permission. I CERTIFY TO THE TRUTH OF MY STATEMENTS ABOVE and authorize the Dealer and any person to whom this Application is delivered to obtain a credit report on me, in connection with this Application and any update, renewal or extension thereof. If it does so, I will, upon request, be informed of that fact and of the bureau's name and address. I authorize the Dealer and any person to whom this Application is delivered to release to third parties information disclosed on this Application and as to their transactions with me.