Military AutoSource Loan Application - Military AutoSource UK

E-Z Auto Loan Application

Your information is submitted securely. SSN is never sent by email. Military AutoSource does not store the information you enter on this form. Once submitted, it is transmitted securely to your ISR and, after receipt, the form data is purged so nothing is kept on this server.

Applicant Information

Last Name

First Name

Date of Birth

# Dependents

SSN

Duty Phone

Home Phone

Military Address

Years at Above Address

Years of Service

Residency (1 Own / 2 Buying / 3 Mil/Rel / 4 Rent)

Rent/Mortgage Payment ($)

Mortgage Company

Home Value ($)

Home Balance ($)

Stateside Information

Stateside Address

U.S.A. Phone Number

Years at Above Address

Education & Service

Education (1-6)

Branch of Service

Rank

Income & Banking

Monthly Income ($) (Base & BAS only)

Other Income ($)

Other Income Source

Name of Bank

Type of Account (1-4)

Previous Auto Loan

Other Expenses

Alimony ($)

Child Support ($)

Personal References (Name, Full Address, Phone, Relationship)

Reference 1

Reference 2

Reference 3

Authorization & Signature

I authorize Overseas Military Sales Corporation and/or its subsidiaries and affiliates to submit this application on my behalf to various financial institutions for credit. I hereby authorize Overseas Military Sales Corporation and/or its subsidiaries and affiliates and the designated finance institutions to receive and accept any personal and financial information derived from financial credit reporting agencies or any other source for the sole purpose of assisting me in obtaining necessary credit to purchase my new vehicle. I acknowledge that I have been notified about the various financing options available including, but not limited to, the following local credit unions and approved manufacturer captive finance companies: Andrews Federal Credit Union, Keesler Federal Credit Union, Service Federal Credit Union, Community Bank, Ford Motor Credit, Harley Davidson Financial Services, and M&T Bank.

By checking this box, you confirm that you have read and understand this application will be submitted securely to your assigned Independant Sales Representative (ISR). You authorize Military AutoSource to transmit the information provided solely for the purpose of assisting with your vehicle financing inquiry.

Customer Signature (typed)

Date