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                Pfeiffer Lot 2 Credit Pre-Approval

Pre-Qualification Form and Credit Approval Request

Use this form to qualify for financing pre-approval, this data will only be used by Pfeiffer Lincoln Mercury and is not sold or
given to other third parties.  (click here to read privacy policy)

* Indicates required field
Contact Information

* Full Name:

* Email Address:

* Home Phone:
Cell Phone:
Street Address:
City:
State:
Zip:
Social Security Number:
Date of Birth: MM/ DD/ YYYY
Preferred Method of Contact: Phone      E-Mail
Employment Information
Place of Employment:
Occupation/Title:
Company Address:
City:
State:
Zip:
Business Phone:
Time on Job: Years     Months
Monthly Salary:
Additional Income:
Residential Information
Rent/Mortgage Monthly Amt:
Duration at Current Residence:
Previous Residence Address:
Previous City:
Previous State:
Previous Zip:
Vehicle Information
Vehicle Type: New     Pre-Owned
Vehicle Manufacturer:
Vehicle Model:
Optional Information
Have you ever filed for
Bankruptcy?		 Yes       No
Have you ever had a car or
other property repossesed?		 Yes       No

Are you a college graduate?
(4 year degree)

 Yes       No
Privacy and Consent Statement
NOTE: I give the above information for the purpose of obtaining credit and authorize dealer to obtain information concerning any statement made herein:
 YES *
Privacy Policy: I have read and understand Pfeiffer's Privacy Policy
(click here to read privacy policy):
YES *

All information is Secure and Confidential

                                                                               

We reserve the right to make changes without notice and are not responsible for typographical errors.  All vehicles subject to prior sale.

Send mail to mcollins@danpfeiffer.com with questions or comments about this web site.
Copyright © 2004 Pfeiffer Automotive Group