Crockers Cars (Secure Online Finance Application)
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Salesperson Information
If you need help with this application please contact me so I can be of assistance.
Salesperson Name
Browse
  
Call Dealership: 541-258-2175
Call My Cell:
Vehicle Of Interest
Fill this section in if you've already found a vehicle you are interested in on our site.
Vehicle Information: 2003 FORD f250 XCAB LB
Stock Number:
VIN Number:
Primary Applicant Information
This section must be filled out completely
Your Personal Information:
First Name
Initial
Last Name
Contact Number
Ext
Cell Phone Number
Email Address
Driver's License Number
State Issued
Date Of Birth
Social Security Number
Notes
Down Payment Information:
Estimated Down Payment Available
Your Housing Information: (A minimum of 24 months of address history is required. Start with your most recent address.)
Street Address
City
State
Zipcode
Length Of Residence
Years
Months
Do You Own Or Rent Your Home?
Monthly Mortgage Or Rent Payment
Lender Or Landlord Name
Lender Or Landlord Contact Number
Previous Street Address
City
State
Zipcode
Length Of Residence
Years
Months
Previous Street Address
City
State
Zipcode
Length Of Residence
Years
Months
Your Employer Information: (A minimum of 24 months of employment history is required. Start with your most recent employer.)
Current Employer
Occupation
Employer Contact Name
Employer Contact Number
Gross Monthly Income
Employer Street Address
City
State
Zipcode
Time At Employment
Years
Months
Previous Employer
City
State
Zipcode
Time At Employment
Years
Months
Previous Employer
City
State
Zipcode
Time At Employment
Years
Months
Your Bank Details:
Bank Name
Account Type
Co-Buyer Section
Only fill this section out if you have a co-buyer / co-signer
Check this box if you have a Co-Buyer
Co-Buyer Information:
First Name
Initial
Last Name
Contact Number
Ext
Email Address
Driver's License Number
State Issued
Date Of Birth
Social Security Number
Co-Buyer Housing Information: (A minimum of 24 months of address history is required. Start with your most recent address.)
Same As Primary Applicant
Street Address
City
State
Zipcode
Length Of Residence
Years
Months
Do You Own Or Rent Your Home?
Monthly Mortgage Or Rent Payment
Lender Or Landlord Name
Lender Or Landlord Contact Number
Previous Street Address
City
State
Zipcode
Length Of Residence
Years
Months
Previous Street Address
City
State
Zipcode
Length Of Residence
Years
Months
Co-Buyer Employer Information: (A minimum of 24 months of employment history is required. Start with your most recent employer.)
Current Employer
Occupation
Employer Contact Name
Employer Contact Number
Gross Monthly Income
Employer Street Address
City
State
Zipcode
Time At Employment
Years
Months
Previous Employer
City
State
Zipcode
Time At Employment
Years
Months
Previous Employer
City
State
Zipcode
Time At Employment
Years
Months
Co-Buyer Bank Details:
Bank Name
Account Type
Terms And Conditions:
Terms and Conditions for use of this finance application, dealerfront.com and all related domains or aliases owned by the website heretofore known as ("the website").
You agree to the following statements:
1) I am a resident seeking automobile financing for myself.
2) I will fill this application out myself with my true and correct details.
3) My cosigner / Co-buyer will fill out their portion of the application with their true and correct details.
4) I am not using this application for any other purpose than to obtain finance.
5) I consent to the terms and conditions in their entirety and agree to hold the website and any aliases free from any liability arrising from my usage of this application.
6) I understand the use of the application is between myself and the dealership that I am applying for finance with and agree to hold the provider of the website and application ("dealerfront.com") exempt from any and all liability related to the use of the website and any and all forms.
7) By using the website, you agree to submit to the exclusive jurisdiction of the state and federal courts located in the city of Los Angeles, State of California, for all disputes and issues regarding your use of our site, our Privacy Policy and your compliance with these Terms of Use.
8) By continuing to use this application i acknowledge my acceptance of the website's terms and conditions.


In submitting this credit application, I/We certify that the information provided on this application is, to the best of my/our knowledge, complete and accurate. I/We understand that the Dealer and financial institution(s) will rely on this information to judge my/our credit worthiness, and will retain this application and information about me/us whether or not this application is approved. Further, I/We authorize an investigation of my/our credit and employment history, in conjunction with which my/our credit report(s) may be obtained from one or more consumer credit reporting agencies. I/We understand that false statements may subject me/us to criminal penalties. I/We further understand that the Dealer and/or the financial institution(s) that evaluate my/our application may require additional information.

FAIR CREDIT REPORTING ACT DISCLOSURE: I/We understand that this application for credit will be submitted by the dealer to various financial institutions for evaluation.

How we protect your privacy:
1) We do not rent, sell, or share any information you provide in this application to any 3rd parties other than those we need to contact to obtain finance for you including but not limited to our lender network, banks and credit unions, our in-house financing department (if applicable) and credit and employment reporting agencies.
2) We use encryption technology on the information you provide to us on this application as required by law.


Age restrictions:
1) You agree that you are 18 years of age or older and are applying for credit on behalf of yourself. If you use this credit application, whether submitted or not, you ackowledge that you have read our policy on age restriction and used or submitted the credit application accordingly and hold the website exempt from any and all liability related to the age restrictions. By submitting this application you are telling us you are of legal age to submit this application.
Submit Your Application:
Apply For Financing
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Crockers Cars 3195 S. Santiam Hwy, Lebanon OR © 2004-2017+
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The information contained in this website is for general information purposes only. The information is provided by Crockers Cars and while we endeavor to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk. In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website. Through this website you are able to link to other websites which are not under the control of Crockers Cars. We have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them. Every effort is made to keep the website up and running smoothly. However, Crockers Cars takes no responsibility for, and will not be liable for, the website being temporarily unavailable due to technical issues beyond our control.