ONLINE CREDIT APPLICATION

ONLINE CREDIT APPLICATION

Interested in a new or used vehicle from Scott Slipp Nissan? Use our convenient credit application to start the financing process without leaving the comfort of your home or office. Your personal information will be kept completely confidential and your completion of this online application in no way obliges you to complete a purchase or lease with Scott Slipp Nissan.

Personal Information fields with * must be filled

* Title:

* Last Name:

* First Name:

Middle Initial:

* Date of Birth:

dd mm yy

S.I.N:

Spouse's Name:

* Street:

* City:

* Phone:

- -

* Postal Code:

* Duration:

* Residence:

* Monthly Payment:

Current Employer Information fields with * must be filled

* Employer:

* Occupation:

* Start Year:

(Please enter 4 digit year)

* City:

* Work Phone:

- -

* Postal Code:

* Salary/Pay:

/Month

Other Income:

Credit Information fields with * must be filled

* Financial Institution:

* Account Type:

* Do you
make support payments?
(Alimony, child support, etc.)

yes no

If yes, monthly amount?

* Have you ever
declared bankruptcy?

yes no

* Have you ever had
something repossessed?

yes no

Consent for Credit Check

By submitting this form, I consent that the above information is true and correct to the complete and best of my knowledge. I agree to a credit investigation and also agree and consent to verification of employment.

2.9% Special Finance Rate is based on a 12 month term and a 36 month amortization with a maximum to finance value of $20,000. This rate is subject to change without notice and is based on OAC. Please contact Dealer for complete details.