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This is where it all starts!

Simply fill out all the fields on this application and click "Submit." You'll be taking the first step toward getting a newer, better vehicle, and re-establishing your credit!

To apply over the phone, please call: 1-800-9SALAS1 (1-800-972-5271)


Current Personal Information (All fields are required)

First Name

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Last Name

Date of Birth (mm/dd/yy)

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Social Security #

Current Street Address

 

E-mail Address

Current City

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State

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Zip

Home Phone

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Cell Phone

Work Phone

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Mortgage/Rent per Month

 Rent

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 Own

 

Time at this address
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Do youhave a valid drivers license?

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Previous Personal Information (All fields are required)

Previous Street Address

   

Previous City

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State

Time at this address
 Years spacer  Months

   
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Current Employer Information (All fields are required)

Employer or Type of Business

Occupation

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Length of Employment
 Years spacer  Months

Gross Monthly Income

   
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Previous Employer Information (All fields are required)

Previous Employer

Length of Employment
 Years spacer  Months

   
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Cosigner Information (Optional)

First Name

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Last Name

Social Security #

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Terms of Service Agreement

In order to continue with the application process, you must indicate that you have read and agree to our Terms of Service Agreement. To do this, please select "Yes, I agree to this Terms of Use Policy" from the menu below.




No, I do not agree.
Yes, I agree to this Terms of Service Agreement.

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Privacy and Credit Privacy Policy

In order to continue with the application process, you must indicate that you have read our Privacy and Credit Privacy Policy. To do this, please select "Yes, I agree to this Privacy and Credit Privacy Policy" from the menu below.




No, I do not agree.
Yes, I agree to this Privacy and Credit Privacy Policy.

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Reference

Please tell us how you heard about our web site:

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