Credit Application

CBC Auto Broker is your automotive advocate, ensuring the best possible payment structures on both leases and purchases. Regardless of the make or model of your car, CBC promises the best possible payment structure to fit your personal needs. We’ll give all dealerships the chance to earn your business.

Personal Information

Personal or Business*

Broker's Name*
Please make sure to choose the broker that you are working with or in contact with.

Full Legal Name*
Please type your full name as it appears on your Driver's License

Birth Date*

Driver License Number*

Driver License Issue State*

Social Security Number*

Phone*

Your Email*

Address*
Street Address

City

State

ZIP Code

How Many Years at Current Address

Employment Information

Occupation / Title*

Present Employer (Company Name)*

How long at this employer?*

Employer Phone Number*

Employer's Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Previous Employment of last 5 years

Total Monthly Income (Gross)*
Please make sure you are inputting your total MONTHLY income and not yearly.

Marital Status*

Do you Own or Rent?*

Do You Have a Co-Signer?
YesNo

Electronic Signature (by signing this, you are allowing access to your credit report)*

Fair Credit Reporting Act Disclosure

By Signing this document you agree to the following: I certify that the information I have provided on this application is , to the best of my knowledge, complete and accurate. I have read the Privacy Policy and authorize that my credit report be obtained. I am 18 years of age or older with a valid drivers license. I understand that financial institution(s) will rely on this information to judge my credit worthiness, and will retain this application and information about me whether or not this application is approved. Further, I authorize an investigation of my credit and employment history, in conjunction with which my credit report(s) may be obtained from one or more consumer credit reporting agencies. I understand that false statements may subject me to criminal penalties. I further understand that the Dealer and/or the financial institution(s) that evaluate my application may require additional information. I/We understand that this application for credit will be submitted by the dealer to various financial institutions for evaluation.