Please fill out the form below and we will be happy toanswer all of your questions and comments.

 
 
Buyer Information:
 
Please fill out form completely.
 
First Name:
Last Name:
Social Security Number:
Drivers License Number:
Your credit situation is:
Do you have a bankruptcy record:
Date of Birth (ex. Jan. 01, 1970):
Email:
Phone:
Best time to contact you:
Contact Method:
 
 
Address Information:
 
Current Address:
   
Street Address:
City:
State:
Zip Code:
How long at this address?(ex. 1 yr. 5 mo's)
Mortgage or Rent Amt:
Housing Status:
Name of Landlord or Mortgage Holder:
 
 
 
Previous Address:
 
Previous Street Address:
City:
State:
Zip Code:
How long at this address?(ex. 1 yr. 5 mo's)
Mortgage or Rent Amt:
Housing Status:
Name of Landlord or Mortgage Holder:
 
 
Employer:
 
Employer:
Work Phone:
Total Gross Monthly Income:
Occupation:
Time Employed? (ex. 1yr. 5 mo's):
 
 
 
Vehicle Information:
 
Year:
Make:
Model:
Sales Price (ex $5,000):
Cash Down (ex $5,000):
 
 
 
Trade-In Vehicle Information:
 
Year:
Make:
Model:
Estimated Payoff (if applicable):
   
   
 
Terms & Conditions:
In the following sentence, the applicant/co-applicant is referred to as "I". In submitting this application I (1) certify that the information provided on this application is complete and accurate; (2) authorize SUNRISE AUTO SALES and financial institution(s) to obtain consumer credit reports in me and gather employment history as they consider necessary and appropriate; (3) I understand, that false statements may subject me to criminal penalties; (4) I further understand that SUNRISE AUTO SALES and financial institution(s) that evaluate my application do so for the purpose of qualifying me for a pre-owned vehicle loan; (5) I understand, that SUNRISE AUTO SALES and any financial institution to whom my application is submitted to will retain this information whether or not it is approved, and that it is the applicant's responsibility to notify the credi
tor of any changes of name, address or employment.