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John L Sullivan Chevrolet

350 Automall Dr
Roseville, CA 95661
Phone: 916-788-8704
Fax: 0

Prequalify Business

John L. Sullivan fleet department now open to the public.
If you have any questions on filling out the credit app please call us at 1-800-454-1346

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General Information

Note: Incomplete applications cannot be processed

Business Name

Federal ID Number

Company Type (Corp, Part, Prop)

Year Started

Street Number

Street Name

Suite Number

Cty

State

ZIP

Business Phone

Bank Name

Bank Account Number

Bank Address

Bank Phone

Last Vehicle Financed or Leased?

Company Name

Company Address

Monthly Payment

Status (open or closed)

Applicant Information

First Name

Last Name

Mother's Maiden Name

Address

City

State

ZIP

Date of Birth [MM/DD/YYYY]

SSN

Co-Applicant Informaiton

First Name

Last Name

Mother's Maiden Name

Address

City

State

Zip

Date of Birth [MM/DD/YYYY]

SSN

Employment Information (Applicant)

Monthly Income

Employers Name

Work Phone

Occupation

Time With Employer

Time with Previous Employer

Three Years of Continuous Employment?

May we call you at work?

Employment Information (Co-Applicant)

Monthly Income

Employer's Name

Work Phone

Occupation

Time with Employer

Time with Previous Employer

Three years of continuous employment?

May we call you at work?

Current Residence Information

Rent or Own?

Mortgage/Rent Payment

Time at Current Address

Time at Previous Address

Years in Area

Home Phone

Additional Financial Information

Additional Income

Current Bank Account Type

Bank Name

Account Number

Signature & Privacy Statement

Signature *

Date [MM/DD/YYYY] *

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