Fortuna Motors and Featherlite Dealer for Northern California
Credit Application

Applicant Information (REQUIRED)

Personal Information *Required Information

Last Name:* First Name:* MI Maiden Name (if appliciable) Marital Status*
Gender:* Date of Birth:* (eg. 05/21/1970) Social Security #: *(XXX-XX-XXXX) Driver's License Number * License State*
  Male
  Female
Address Information

Street Address:* City:* State/Province:* Post Code:*
Telephone Number:* (XXX-XXX-XXXX) Housing Arrangement Monthly Rent / Mortgage* ($XXXX.XX) Length At Address
$
Employment Information

Employer* Employer's Phone #* (XXX-XXX-XXXX) Length Employed (Years & Months)*
Gross Annual Income* (Include all sources you wish to be considered as a basis for repayment.)
$

Co-Applicant Information (OPTIONAL)

Personal Information This Section is Optional

Last Name: First Name: MI Maiden Name (if appliciable) Marital Status
Gender: Date of Birth: (eg. 05/21/1970) Social Security #: (XXX-XX-XXXX) Driver's License Number License State*
  Male
  Female
Address Information

Street Address: City: State/Province: Post Code:
Telephone Number: (XXX-XXX-XXXX) Housing arrangement Monthly Rent / Mortgage ($XXXX.XX) Length At Address
$
Employment Information

Employer Employer's Phone # (XXX-XXX-XXXX) Length Employed (Years & Months)
Gross Annual Income (Include all sources you wish to be considered as a basis for repayment.)
$

Vehicle Information

Vehicle of Interest *Required Information

Year Make Model Color
Vehicle Type Price Range
May we contact you regarding this vehicle?   Yes    No  
Are you interested in Trade-In?   Yes    No  
Contact Information

Contact Name* Contact Phone #* (XXX-XXX-XXXX)
E-mail Address* (johndoe@example.com) Preferred Contact Time*
We Offer the Best Deals on our Great Pre-Owned Vehicles!
Northern California Ford dealers and featherlite trailers and JV custom trailers -
Call Us (800) 248-1999

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