Selling quality pre-owned Cars, Trucks, SUVs, Crossovers in Northwood, NH serving New England

Please fill out the form below to start the application process.

Applicant - Personal Information

IMPORTANT: Read these directions before completeing this application. Check appropriate box.

If you are applying for individual credit, complete all but the Co-Applicant section of this application.

Today's Date: 02-23-2012

If you are applying for joint credit with another person, complete the entire application, providing complete information about the applicant and the co-applicant.

First Name:

MI:

Social Security Number:

Last Name:

Date of Birth:

Street Address:

Driver's License Number:

City/Town:

Expiration Date:

State:

State Issued:

Zip Code:

Home Phone:

Time at this address:

Have you ever obtained credit under any other name?

Do You

If yes, full name:

Name of Mortgage Co/Landlord:

Your Email:

Mortgage Co/Landlord Phone:

Your Cell Phone:

Amount of Monthly Mortgage/Rent:

Previous City/Town:

Previous Street Address if
less than 3 years:

Previous State:

Time at this address:

Previous Zip Code:

Name of nearest relative
not living with you:

Relationship:

Phone:

Applicant - Employment Information

Employer Name:

Occupation:

Employer Address:

Work Phone:

Length of Employment:

Gross Income:

Source of Other Income:

Frequency:

Amount of Other
Income(Weekly):

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for approval of this obligation.

Applicant - Financial Information

Bank Name

Personal Checking/Savings Acct #

Date Opened

Balance

Auto Loan Co.

Auto Loan Acct #

Date Opened

Balance

Credit Cards

Credit Card Acct #

Date Opened

Balance

Vehicle Information

Amount of Downpayment:

Trade-In Information:

Vehicle you are interested in:

Co-Applicant Information

First Name:	Relationship to Applicant
Last Name:	Social Security Number:
Street Address:	Date of Birth:
City/Town:	Driver's License Number:
State:	Expiration Date:
Zip Code:	State Issued:
Time at this address:	Home Phone:
Previous Street Address if less than 3 years:	Employer Name:
Previous City/Town:	Occupation:
Previous State:	Gross Income:	$
Previous Zip Code:	Frequency:
Source of Other Income:	Amount of Other Income(Weekly):	$

Ella's Auto
1254 First New Hampshire Turnpike
Northwood, New Hampshire 03261
(603) 942-7390