APPLY FOR FINANCING

Submit your credit application for court-released vehicles, bank repossessions, and commercial fleet liquidations under Florida Dealer License #VI 1106456-1.

Applicant Identification

Full Legal Name (First, Middle, Last) *

Phone Number *

Email Address *

SSN or ITIN (9-Digit) *

Date of Birth *

Residential & Financial Information

Street Address

City

State

ZIP Code

Housing Status

Monthly Housing ($)

Employment Status

Employer / Business Name

Gross Monthly Income ($) *

Financing Request Details

Requested Loan Amount ($) *

Down Payment ($)

Preferred Term

Target Vehicle / Stock # (Optional)

FCRA Authorization & Legal Disclosures

FAIR CREDIT REPORTING ACT (FCRA) AUTHORIZATION: By checking the box below and submitting this credit application, I certify that everything I have stated in this application is true and complete. I authorize A-SMITH AUTOSALES (A-SMITH AUTOSALES GROUP INC., FL License #VI 1106456-1) and its participating lending partners to obtain consumer credit reports from one or more consumer reporting agencies (Equifax, Experian, TransUnion) under 15 U.S.C. § 1681 et seq. for the purpose of evaluating auto credit pre-approval.

USA PATRIOT ACT NOTICE: Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account or requests credit.

I authorize asmithautosales.com and its bank lending partners to verify my credit profile, employment, and income details as described in the FCRA legal notice above. *

LIVE DOCUMENT PREVIEW

FORM FL-4401

OFFICIAL BANK REVIEW

UNIFORM AUTO CREDIT APPLICATION

A-SMITH AUTOSALES GROUP INC. • FINANCE DESK

FL MOTOR VEHICLE LICENSE #VI 1106456-1

APPLICANT SUMMARY

Name: [Enter Name]

Phone: [Enter Phone]

Email: [Enter Email]

SSN/ITIN: XXX-XX-XXXX

Residency: Miami, FL (Own)

FINANCIAL STRUCTURE

Monthly Income: $6,500

Gross Loan Request: $35,000

Down Payment: $5,000

Net Financed Principal: $30,000

Est. Payment: $673 / mo (60 mos @ 6.9% APR)

Target Asset: Certified Pre-Owned Inventory Lot

FCRA Auth:PENDING SIGNATURE

Ref Code: FL4401-2026✓ SSL 256-BIT ENCRYPTED

FINANCIAL & STATUTORY DISCLAIMER

All auto credit applications are subject to final lender approval, income verification, and vehicle title clearance under Florida statutory licensed automotive dealer guidelines. Actual interest rates (APR) may vary based on creditworthiness.