ES MOTORS CREDIT APPLICATION

Apply below to get pre-qualified for financing with or without a co-signer.

Do you have a co-signer?

Yes

Primary Applicant

First Name Middle Name (optional) Last Name Date of Birth Social Security # Phone Number Email Address

Current Address How long at address?

Previous Address (if less than 2 years) How long at previous address?

Driver License # DL Expiration DL State

Cosigner Information

First Name Middle Name Last Name SSN DL # DL Expiration DL State

Current Address Phone Email Employer Occupation Employer Address Monthly Salary

Time on Job

Previous Employer Previous Employer Address Time at Previous Job

As co-signer, I authorize ES MOTORS and its financing partners to obtain my consumer report(s) consistent with FCRA §604, 15 U.S.C. §1681b, and I consent to electronic records and signatures under the E-SIGN Act and Texas UETA (Bus. & Com. Code Ch. 322).

Employment Information

Employer Name Occupation Work Phone Employer Address Salary (Monthly)

How long at this job?

Previous Employer Previous Employer Address How long at previous job?

I authorize ES MOTORS and its financing partners to obtain my consumer report(s) and/or investigative consumer report(s) from Experian, Equifax, TransUnion, and other CRAs to evaluate my motor-vehicle credit application, verify information, and for legitimate purposes related to any resulting account (servicing, updates, extensions, renewals, collection), as permitted by the Fair Credit Reporting Act (FCRA) §604, 15 U.S.C. §1681b. I certify the information is true and correct. I agree to use electronic records and signatures and to receive required disclosures electronically, consistent with the federal E-SIGN Act and the Texas Business & Commerce Code, Chapter 322 (UETA).

ES MOTORS is an equal credit opportunity creditor. We do not discriminate on the basis of race, color, religion, national origin, sex, marital status, age, receipt of public assistance, or the exercise of any right under the Consumer Credit Protection Act (ECOA/Reg B). If credit is denied, you will receive a notice per 12 C.F.R. §1002.9.

ES MOTORS CREDIT APPLICATION

Primary Applicant

Cosigner Information

Employment Information

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