Sales@ShawMotors280.com
"Please complete ALL of the fields below and submit.  We may contact you requesting additional information so please
provide and valid DAYTIME contact number.  All information given will be verified by the Lender. So remember, be
truthful with all of the information provided: Time on Job and at Residence, Gross Monthly Income and so on."
Applicant and Co-Applicant  Information Request Form.
Applicant
Please Type "YES" in the  
provided field to give us
permission to run your credit
report.
Is this a "Single" or "Joint" Credit
App?   If Joint Please complete all
fields below.
What vehicle you are interested
in? Enter the  Year, Make, Model,
Last 6 of VIn# and Sale Price.
Please enter your name as it
appears on your Drivers License
Please enter your physical
address: Include County and time
at residence.
 If less than 2 years  
include your previous address.
Please enter your  home and cell
phone numbers with area codes:
Please enter your Social Security
Number & Date of Birth :
Please enter your current place of
employment and  position along
with your time on Job.
 If less that 2
years list previous employer and
Time on Job
Please enter your work phone
number and supervisors name or
H.R. Contact
Gross Monthly Income. (Must have
recent Pay Stubb to verify).
Do you own or rent? What is your
monthly Payment for Housing $$
Please provide the names,
addresses and phone numbers of
two relatives not living in your
house hold
"Please complete the fields below if this is a joint or co
application."
Co-Applicant
Please Type "YES" in the  
provided field to give us
permission to run your credit
report.
Is this a "Single" or "Joint" Credit
App?   If Joint Please complete all
fields below.
What vehicle you are interested
in? Enter the  Year, Make, Model,
Last 6 of VIn# and Sale Price.
Please enter your name as it
appears on your Drivers License
Please enter your physical
address: Include County and time
at residence.
 If less than 2 years  
include your previous address
.
Please enter your  home and cell
phone numbers with area codes:
Please enter your Social Security
Number & Date of Birth :
Please enter your current place of
employment and  position along
with your time on Job
.  If less that 2
years list previous employer and
Time on Job
Please enter your work phone
number and supervisors name or
H.R. Contact
Gross Monthly Income. (Must have
recent Pay Stubb to verify).
Do you own or rent your home?
What is your monthly Payment for
Housing?
Please provide the names,
addresses and phone numbers of
two relatives not living in your
house hold.
Shaw Motors,Inc
205-678-7900 -Office
205-678-7904 -Fax