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1. General Information
First Name *
Last Name *
E-mail *	Please use a valid e-mail. We will be sending important reminders throughout the loan process.
Home Phone *	() - With area code
Fax Number	() - Optional
Date of Birth *	, MM-DD,YYYY Example: January 17, 1973
Social Security Number *	Example: 123-45-6789
Mother's Maiden Name	Last name only, no punctuation or spaces - used for security purposes

2. Residential Address Information
Street Address	No PO boxes
Unit, Suite or Apt #	If none, leave blank
City, State
Zip Code
Time at Current Residence	Years Months Enter months if less than 1 year
3. Previous Address Information
Please provide only if at your current residence less than 2 years
Street Address
Unit, Suite or Apt #	If none, leave blank
City, State
Zip Code
Time at Previous Residence	Years Months

4. Mailing Address If Different Than Residential Address (optional)
Street Address	Street address or PO box
Unit, Suite or Apt #	If none, leave blank
City, State
Zip Code

5. Housing Information
Primary Residence	Own Rent Other
Total Years You Have Been a Homeowner	Years Round to nearest year
Estimated Monthly Housing Payments	$ Include all mortgages or rent, property taxes, homeowners fees, and insurance

6. Employment Information
Please provide at least 2 years of employment and residency history to ensure approval. Add additional comments in the special instructions field in the form
Occupation	If you select Retired or Homemaker, please skip to Liquid Assets/Other Income.
If you selected "Other"	Occupation description
Present Employer
Business Phone	Ext With area code
Street Address
Mailstop, Suite or Floor #
City, State
Zip Code
Time With Present Employer	Years Months
Gross *Monthly* Income	$ Monthly

7. Liquid Assets ⁄ Other Income
Liquid Assets	$ Total of checking, savings, money market, stocks, bonds, and mutual funds. Please do not include equity in your home, retirement monies, restricted stock or unvested options.
Other Monthly Income	$
Source of Other Monthly Income	Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying your loan

Credit Score or Range (i.e. 725 or 700-750)

8. Your Loan and Blank Check

Loan Product Selected

Loan Type Selected

Intended Vehicle Year

Intended Vehicle Make

Intended Vehicle Model

Intended Vehicle Trim

Do you have a vehicle you wish to trade in?*

Yes No

Current monthly payment on trade-in

Loan Amount Requested *

$
Between $7,500 and $100,000
($10,000.01 minimum in Arizona)

Term in Months *

Down Payment *

9. Optional Financing Referral Service

Colony Motorcars is committed to helping you finance your vehicle. In the event we are unable to provide you with a vehicle loan,we offer an optional service that could help you obtain financing.
Your financial application data or credit information will not be shared. We will forward only your intended make and model and contact information (name, address, phone number and e-mail address) to institutions who meet the criteria for your financing needs.

Yes No

10. Billing Choice

Please choose Automated Payment Option or Invoicing Payment Option.

Automated	Due Date
Invoicing	Due Date

11. Delivery Option
US Mail Overnight($15 fee applies)
12. Notification Method of Credit Decision
If you submit this loan application during our regular business hours which are 7 a.m. to 7:30 p.m., Monday - Saturday and 9 a.m. to 2 p.m. on Sundays (non-holiday weekends) Central time, we will normally contact you within 15 minutes of submitting this loan application. If you submit this loan application during our non-business hours, we will contact you on our following business day.
In most cases, you will receive our decision by e-mail. However, we may call you with our decision or to ask you additional questions. Please indicate which phone number you prefer us to use. Work Home

13. Special Instructions
Please note any special time or range of times which you desire us to contact you, if different from above. We can contact you at any time during our regular business hours.
By clicking the button below, you certify that all of the statements in this application are true and complete and are made for the purpose of obtaining credit. You authorize Colony Motorcars to share the application and related information with its lending partners in order to complete the processing of this application. You agree to be considered for all available loan offers, with the electronically-linked rate information available for your review. You authorize Colony Motorcars and its lending partners to retain and rely on this application, and to obtain additional information, including credit reports.


* — The following fields are required

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