Fortuna Motors

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 -

Ford (800) 248-1999

Chevy (800)833-7710

E-mail Us

The Northern California Ford dealer to see is Fortuna Motors! We are a Ford, Chevrolet, Pontiac and the wests largest Featherlite dealership. We are a Humboldt County Ford dealer but we have more than just Fords and we have the best prices and personal service after the sale. Come see the Redwoods and get a great car at a GREAT price at the same time! Your Northern California Ford dealer where the deals are as awesome as the Redwoods!

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