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Secure Auto Loan Request Form

Complete the form below to apply for easy auto financing. This application is protected with the highest level of internet security available to ensure that your personal information is safe. Please note that all form fields are required.
    You have indicated that you would like to attach a co-buyer to your loan request, please fill out his/her information below.
    Personal Information
    Residential Information
    Employment Information
    Bankruptcy Information
    Authorization and Certification

    By clicking on the "button" below, I agree to be contacted by Auto Credit Express, Credit.com (Privacy Policy and Terms of Service), and up to five participating dealers, lenders or other network partners (including their affiliates and partners) regarding this loan request and relevant marketing/advertising messages, using automated telephone dialing systems, text and/or prerecorded messages at any number previously provided. Consent is not required as a condition of service, to agree without providing consent to be contacted using automated telephone dialing systems, text and/or prerecorded messages. For more information regarding the Telephone Consumer Protection Act, click here.

    By submitting this loan request, I certify that all information herein is true and complete. I authorize lending institutions and participating auto dealers to retain this loan request, to rely on the foregoing, to check and verify my credit, employment and salary history. By using our website, you authorize us to provide reports on the status of your loan request, including information concerning whether you pre-qualify for a loan, which lender's loan offer (if any) you choose to accept, whether your loan request is denied, and whether you accept a loan from that lender. See the "Lender Specific Information" section of the Privacy Statement to view partners with whom we may share your information.